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Pioglitazone is not widely available because of safety concerns, including congestive heart failure, bone fractures in women and the possibility that pioglitazone may lead to an increased risk of bladder cancer (253)

This incident offers a vital lesson: the green list framework cannot be treated as a static, self-policing registry

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While the new EU tariffs and the threat of more to come are already hurting Novos bottom line, the long-running American pharma company Eli Lilly, which makes competitor injectables Mounjaro and Zepbound, is faring much better despite also being targeted by Trump