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However, their high price tags $12,648 per year for tirzepatide and $13,618 per year for semaglutide exceed the typical cost-effectiveness threshold of $100,000 to $150,000 per quality-adjusted life-year (QALY)

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The cyclic lactam bridge provides structural stability across a broad pH range , avoid strongly alkaline conditions above pH 9 that can promote lactam hydrolysis over extended incubation, and avoid oxidising conditions that could modify the Trp9 residue

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