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Thats because they both reduce glucose

Common symptoms of elevated heart rate include: Palpitations : A sensation of the heart beating forcefully, rapidly, or irregularly in the chest, neck, or throat

Zepbound is contraindicated in patients with a personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN2)
It is important to understand the distinction