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Tirzepatide is a 39-amino-acid peptide, and like most peptides it is rapidly degraded by digestive enzymes when swallowed, so an oral formulation requires either a delivery technology that protects the peptide through the gut (the SNAC absorption enhancer used in Rybelsus and the Wegovy pill is the only such technology cleared in the GLP-1 space) or an alternate route such as sublingual that bypasses first-pass digestion
It is entirely normal to feel frustrated by the lack of quick fixes or definitive cures in the current medical landscape
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