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Thats because Novo Nordisk had to design the pill in a way that prevented the drug from being broken down in the stomach before it could be absorbed by the bloodstream

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If a patient has a known allergy or sensitivity to one of these additives, a compounding pharmacy can create a version of the medication that excludes the problematic ingredient

Andreeff M , Borthakur G, Zeng Z, Kelly MA, R-Y W, McQueen TJ, Y-H Q, Mak D, Burger JA, Daver NG, Pemmaraju N, Kadia TM, Jabbour E, Pierce S, Ravandi F, Garcia-Manero G, O'Brien SM, Cortes JE, Kantarjian HM, Konopleva M

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Psychiatry 14 , 1238353 (2023)