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Because Plosbrio and Poviztra are exactly the same as Ozempic and Wegovy - the only differences are the product names and packaging - they didn't go through the same review process the generic versions do.

[2] It is important to emphasise that these effects are not experienced by all patients , and the frequency and severity vary considerably between individuals

Autism Res 8:272

FDA-approved branded GLP-1 medications Wegovy, Ozempic, Zepbound, Mounjaro are the same molecules dispensed as finished drug products that completed Novo Nordisk's and Eli Lilly's FDA review and ran the SUSTAIN, STEP, and SURMOUNT trials