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b) reacting compound of formula-22 with compound of formula-23 in a solvent optionally in presence of a base to provide compound of formula-24, The solvent in step-a) to step-d) wherever necessary is selected from hydrocarbon solvents, ether solvents, ester solvents, polar-aprotic solvents, chloro solvents, ketone solvents, nitrile solvents, water and the like or mixtures thereof

In cases where skin reactions significantly impact quality of life or suggest hypersensitivity, your provider will assess whether continuing tirzepatide remains appropriate or whether alternative diabetes or weight management therapies should be considered

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FAQ Q1: What is the Advanced Recomp Stack