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Making these medications available to all obese Americans at their current price could eventually cost over US$1 trillion per year

Hepatic Impairment Dapagliflozin In subjects with mild and moderate hepatic impairment (Child-Pugh classes A and B), mean Cmax and AUC of dapagliflozin were up to 12% and 36% higher, respectively, as compared to healthy matched control subjects following single-dose administration of 10 mg dapagliflozin

What are my realistic options

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Per the Terms, independent licensed medical professionals are responsible for the medical care they provide, including whether a prescription is appropriate