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For comparison: This is not a formulation problem that better engineering can easily solve

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US state-level prevalence of adult obesity by race and ethnicity from 1990 to 2022 and forecasted to 2035, JAMA

Establishing a routine can prevent nausea before it starts
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Separately, there is a proposed class action lawsuit filed by a drug wholesaler alleging anticompetitive conduct by Novo Nordisk to delay generic Victoza entry into the market, seeking damages on behalf of purchasers rather than patients injured by the drug

Limited insurance coverage and recent shortages only complicate access
