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Pharma determines access, pricing, supply, and exits, the four pillars of GLP-1 market stability.(e.g., Roche, AbbVie, Novo Nordisk) They control the drug pipeline and reimbursement Pharmas licensing, M&A, and distribution decisions determine what products clinicians can prescribe and what insurers will cover

GLP-1, or glucagon-like peptide-1, is an incretin hormone produced primarily by enteroendocrine L cells in the small intestine and colon

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