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The original development partner, Janssen Pharmaceuticals, has handed back the license for efinopegdutide to the original developer, Hanmi Pharmaceutical, but the license has been taken up by Merck to be developed as a once weekly treatment for NAFLD

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That doesnt mean you should start with such doses, as it may lead to serious gastrointestinal reactions, like nausea, stomach pain, diarrhea, and gastritis (inflammation in the stomach lining), if you dont increase gradually to higher doses

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Eating enough protein and calories to support metabolic function becomes the central challenge, not drug safety