For background on oral versus injectable peptide delivery, the injectable versus oral peptide comparison provides useful context
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Mayo Clinic describes tesamorelin as a hormone similar to the one normally released by the hypothalamus, available only by prescription and given as an injection under the skin of the abdomen (Mayo Clinic tesamorelin overview)
Of course, they're not exactly the same , and we're not claiming that berberine is more effective than Ozempic but for some use cases, we're not going to claim it's less effective, either