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In practice, “tirzepatide tablets” usually refers to one of these: Marketing for an unapproved product (sometimes falsely implying it’s a pill version of Mounjaro/Zepbound) A compounded preparation being sold as a “tablet,” “ODT,” “troche,” or “sublingual tirzepatide” A counterfeit or mislabeled product that may not contain what it claims The problem: these products have not gone through FDA review for safety, effectiveness, or quality