What it is
Tirzepatide is a synthetic peptide — a chain of 39 amino acids. It mimics two hormones the gut releases after every meal.
Every earlier molecule in this class mimicked one hormone. This one mimics two. That is the whole difference.
The technical detail
Development code LY3298176. A dual agonist of the GIP and GLP-1 receptors, from the incretin agonist class.

