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More importantly, the removal from the shortage list stripped compounders of the political and regulatory cover that had held back aggressive patent litigation

In a statement to Fortune last month, Novo Nordisk said there was no mistake regarding its patent maintenance fee in Canada and declined to comment on other drug manufacturers plans

Bigger results come at the 2.4 mg and 7.2 mg maintenance levels

The connection isn't just a vague feeling

"We do not yet fully understand how GLP1RA work, but these and other studies are showing that weight loss alone cannot completely account for the many kidney, metabolic, and kidney benefits that these agents provide," said Neha Pagidipati, MD, MPH, FACC , JACC associate editor