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That interpretation of the rules is being challenged in the courts by Novo Nordisk and Eli Lilly, which makes rival weight-loss therapy tirzepatide, while the compounders have countersued, claiming that the FDA's removal of the drugs from the shortages list was premature

doi: 10.1038/s41598-019-42770-1
One involves building the whole peptide one amino acid at a time with solid-phase synthesis
New Medications for Treatment of Obesity: Metabolic and Cardiovascular Effects
doi: 10.1371/journal.pone.0025436
