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Methods A systematic search was conducted across MEDLINE, Scopus, and Web of Science up to June 15, 2025, using PRISMA 2020 guidelines

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IGF-1, insulin-like growth factor 1

Without concerted action, these medicines could contribute to widening the gap between the rich and poor, both between and within countries," Tedros said

2.2 Key Patent Expiry Dates and Early Launches For GLP-1 drugs, patent timing has played a critical role: Indian government and ICMR documents note that, as a concrete milestone, the core patent for semaglutide expired on March 20, 2026, triggering immediate generic launches and a sharp price drop across India.[4] According to Business Standard, more than 40 Indian drugmakers including Sun Pharma, Dr