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For tirzepatide mechanism, clinical outcomes, and safety evidence, see the Tirzepatide clinical guide

Groop PH, Cooper ME, Perkovic V, Emser A, Woerle HJ, Von Eynatten M

(2020) Identification of the 3-amino-3-carboxypropyl (acp) transferase enzyme responsible for acp3U formation at position 47 in Escherichia coli tRNAs, Nucleic Acids Res