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Ozempic or its upcoming generic version often wins out for patients who: Have existing heart disease, a history of stroke, or early diabetic kidney disease Want strong, well-established long-term safety data before committing Are working within a tighter monthly budget, especially once generics arrive Are comfortable with a slightly smaller, but still substantial, drop in HbA1c and weight generic semaglutide options after patent expiry Who Should Consider Rybelsus

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