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Glutazumab, a novel long-lasting GLP-1/anti-GLP-1R antibody fusion protein, exerts anti-diabetic effects through targeting dual receptor binding sites - ScienceDirect
Nausea and gastrointestinal symptoms from Mounjaro may be slightly more pronounced due to additive metabolic effects
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But it is not approved or available like tirzepatide, so "better" depends on whether you can actually get it