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Quick Answer: Nausea on Zepbound is primarily caused by delayed gastric emptying, where food stays in the stomach longer
The approved generic product is therapeutically equivalent to Motegrity (Prucalopride) Tablets, 1 mg and 2 mg, marketed by Takeda Pharmaceuticals USA Inc
That is not unusual for smaller companies, but it does mean the BBB rating is based on a relatively short track record
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