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Ozempic may contribute to an increased risk for thyroid c-cell tumors, acute pancreatitis, gallbladder disease, hypoglyceia, acute kidney injury, severe GI side effects, and an increased risk for worsening of diabetic retinopathy in people with type 2 diabetes
15 A significant nuance of this system is the NCE-1 provision, which allows a generic manufacturer to file an ANDA with a Paragraph IV certification four years after the NCEs approval, provided they challenge at least one of the patents listed in the FDAs Orange Book

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9e, f), consistent with a divergence between beta cell and central effects of exendin-phe1

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severe hypoglycemia can lead to seizures or loss of consciousness
