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The bottom line: using expired tirzepatide probably will not harm you directly, but it undermines the entire point of taking it

doi: 10.1038/ctg.2015.2

Staying consistent is key for achieving good results

Mechanisms, Pathophysiology, and Management of Obesity. New England Journal of Medicine , 376(3), 254-266, 2017

Although several CYP2E1 polymorphisms have been identified, only a few studies have been done to determine the effect on alcohol metabolism and tissue damage