Comparative example 1 (1) The following peptide resins were prepared according to the procedure of example 1: H-Lys 20 (AEEA-AEEA--Glu(OtBu)-Octadecanedioic)-Glu 21 (OtBu)-Phe 22 -Ile 23 -Ala 24 -Trp 25 (Boc)-Leu 26 -Val 27 -Arg 28 (pbf)-Gly 29 -Arg 30 (pbf)-Gly 31 -Wang resin (2) coupling and deprotection were repeated according to the methods of example 1, steps 4 and 5, using HOBT/DIC as a condensing agent and DMF as a solvent, and protected amino acids Fmoc-Ala-Ala-OH, Fmoc-Gln (Trt) -OH, Fmoc-Gly-OH, Fmoc-Glu (OtBu) -OH, Fmoc-Leu-OH, Fmoc-Tyr (tBu) -OH, Fmoc-Ser (tBu) -OH, Fmoc-Val-OH, Fmoc-Asp (OtBu) -OH, Fmoc-Ser (tBu) -OH, Fmoc-Thr (tBu) -OH, Fmoc-Phe-OH, Fmoc-Thr (tBu) -OH, Fmoc-Gly-OH, Fmoc-Glu (OtBu) -OH and Fmoc-Aib-OH were sequentially connected, each amino acid charge was 3 times the molar number of Fmoc-Gly-Wangrestin, the following peptide resins were obtained: Fmoc-Aib 2 -Glu 3 (OtBu)-Gly 4 -Thr 5 (tBu)-Phe 6 -Thr 7 (tBu)-Ser 8 (tBu)-Asp 9 (OtBu)-Val 10 -Ser 11 (tBu)-Ser 12 (tBu)-Tyr 13 (tBu)-Leu 14 -Glu 15 (OtBu)-Gly 16 -Gln 17 (Trt)-Ala 18 -Ala 19 --Lys 20 (AEEA-AEEA--Glu(OtBu)-Octadecanedioic)-Glu 21 (OtBu)-Phe 22 -Ile 23 -Ala 24 -Trp 25 (Boc)-Leu 26 -Val 27 -Arg 28 (pbf)-Gly 29 -Arg 30 (pbf)-Gly 31 -Wang resin (3) pouring six parts of the peptide resin prepared in the step (2) into a solid phase reactor respectively, removing Fmoc protection according to the method of the embodiment 1, and washing

During 72 weeks of treatment, people taking tirzepatide at doses of 5, 10, or 15 mg lost an average of 15.0%, 19.5%, and 20.9%, respectively, compared with just 3.1% in people taking a placebo
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