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The NHS and MHRA advise that unused or out-of-date medicines should never be disposed of via household waste or flushed down the sink or toilet, as pharmaceutical compounds can contaminate water supplies and harm ecosystems

Tirzepatide, the active ingredient in Mounjaro and Zepbound, is a 39-amino acid dual agonist targeting both GLP-1 and GIP receptors, also incorporating a fatty acid modification for half-life extension, and is the most commercially significant synthetic peptide ever produced at scale

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Many compounding pharmacies offer similar tirzepatide/glycine formulations