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The critical difference between a drug on the 503B list and an FDA-approved medication is the level of scrutiny, he continued

Here's what the evidence now shows: A 2026 study in eBioMedicine (University of Gothenburg, Sweden), the first to specifically test tirzepatide on alcohol behaviours, found that it reduced voluntary alcohol consumption, prevented binge-like and relapse-like drinking patterns, and blocked dopamine spikes in the brain's reward centre