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The variation comes from transliteration out of Russian, where the originating literature was published, and no standardising body has ever settled it

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Bain, "Роль Тирзепатида, двойного агониста рецепторов GIP и GLP-1, в управлении сахарным диабетом 2 типа: клинические испытания SURPASS", Diabetes Ther., том 12, № 1, стр