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All clinical decisions rest with the evaluating clinician

Over time, the active ingredient degrades, and sterility can be compromised, especially if stored improperly

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

Diabetes status is similarly self-reported based on physician diagnosis

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