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9.1 Conceptual framing: swallowed injection, not oral absorption Device-mediated delivery systems share a familiar premise: systemic protein delivery via classical oral absorption is untenable and must be circumvented

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Case reports and expert consensus instead highlight that tirzepatide alone achieves superior long-term weight loss (average 22 pounds at 21 weeks in STEP trials) without the tolerance decay that limits phentermine to 12 weeks of use

The metabolic benefits of semaglutide would theoretically support better erectile function over time