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VANQUISH-1 is fully enrolled with approximately 4,500 patients, and the Phase 3 oral program is expected to begin in Q3 2026, with maintenance dosing results also due that quarter

But state-specific telehealth practice standards still govern how Arora Health providers conduct clinical evaluations, and the Trimi Code of Conduct requires providers to review current medications for interactions and to "when in doubt, don't" prescribe if safety is uncertain

Lilly has requested to join ongoing litigation and sent cease-and-desist letters to telehealth companies and medical spas selling compounded tirzepatide

The Endocrine Society study found that many patients who start these medications eventually discontinue them, only to return later