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They manage the system

After initial assessment, 115 patients (67 males/48 females, mean age SD 65.2 10.4 years, range 3586) were selected to receive oral semaglutide and 177 patients (105 males/72 females, mean age SD 62.4 10.0 years, range 2787) were prescribed once-weekly subcutaneous semaglutide

Alternatively, if they do not accept a settlement or there is no settlement offer, the plaintiff can take their case to trial in the jurisdiction where they initially filed their lawsuit