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References Institute of Medicine (US) Subcommittee on Military Weight Management

Once key patents expire, Indian companies can launch generics or biosimilars (biologic medicines that are highly similar to the original, with no meaningful difference in safety or effect), provided the Central Drugs Standard Control Organisation (CDSCO) approves them after reviewing quality, safety, and efficacy

The ubiquitous vitamin B 12 -dependent methionine synthase (MS) enzyme also catalyzes the re-methylation of homocysteine, using the folate derivative, 5-methyltetrahydrofolate, as a methyl donor (see Nutrient interactions)

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Instead, they may contain compounded semaglutide in salt forms, which could pose health risks