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Heres a quick breakdown: Tirzepatide: Mounjaro : Approved for type 2 diabetes

Semaglutide is the active ingredient in Novo Nordisk's injectable drugs Ozempic and Wegovy, as well as the oral tablet Rybelsus [Source: nationalpost.com/news/canada/generic-versions-of-weight-loss-drugs-should-arrive-on-canadian-pharmacy-shelves-this-summer]

Effects of additive therapy with spironolactone on proteinuria in diabetic patients already on ACE inhibitor or ARB therapy: results of a randomized, placebo-controlled, double-blind, crossover trial

Additionally, alcohol can affect blood sugar levels, which is a consideration given Zepbounds metabolic effects