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Mounjaro operates in a highly competitive therapeutic area, facing both established and emerging players

With advancements in genetic testing and biomarkers, treatments can often be tailored to enhance efficacy and minimize risks for individual patients

10.1136/bmjopen-2021-060668 111

Berberine has clinically recognised glucose-lowering effects and may increase the risk of hypoglycaemia in patients already taking insulin, sulphonylureas, or GLP-1 receptor agonists

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