It is a peptide-based therapeutic engineered for drug-like pharmacokinetics rather than a biologic protein product produced by cells
Accelerated Storage for Shelf-Life Prediction of Lyophiles: Temperature Dependence of Degradation of Amorphous Small Molecular Weight Drugs and Proteins
I don't think it will be a fringe thing for long
10,29 Tirzepatides mechanism of action could induce a state of passive calorie restriction and malnutrition, which may cause metabolic and digestive disturbances and even neuropsychiatric effects, such as anorexia nervosa, sleep disorder, muscle atrophy and Wernickes encephalopathy (indicating vitamin B1 deficiency)newly identified AEs in this study
A clinician must review glucose, nutrition, gastrointestinal symptoms, other medicines, product quality, and the lack of proven benefit before considering any investigational combination