Viatris could still take its cases further, but for now Merck has retained market exclusivity for Januvia, Janumet, and Janumet XR until at least 2026
This delayed gastric emptying is therapeutically beneficialit contributes to improved glycemic control and enhanced satietybut it also means that food remains in the stomach for extended periods, potentially leading to sensations of fullness, distension, and bloating
A well-designed ketogenic protocol can turn the pre-IVF waiting period into a real therapeutic window improving both metabolic and reproductive potential
However, these data are still limited and not strong enough to confirm safety or fully understand potential risks
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