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Toma Pfeffer, CEO of Bayer UK and Ireland, zeroed in on the structural problem: Most healthcare systems were structurally incentivized to look no further than the next 12 months. His call for collaboration on reimbursement models reflects Bayers bet that the winners in cell and gene therapy will be those with the patience and capital to design trials that anticipate health technology assessment endpoints from the start

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The occurrence of dumping symptoms within a typical fixed timeframe after meal ingestion combined with objective signs of hypovolemia for early dumping (060 minutes postprandially) and symptomatic hypoglycemia (60180 minutes postprandially) confirm the diagnosis