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Because it is a newer, patent-protected drug, there is currently no cheap generic version available, and experts dont expect one until the early 2030s
Kidney Dysfunction: While the kidneys do not directly excrete vitamin B12 efficiently, impaired renal function may lead to elevated serum B12 levels by reducing the clearance of B12-binding proteins or altering their metabolism, thereby contributing to B12 accumulation 8
- Adjunct therapies targeting adipocyte biology could capture value as combination regimens gain acceptance
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