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This is a valid concern, and it is indeed possible that these drugs stay expensive for the next couple years due Eli Lilly and Novo Nordisks duopoly, but I think to underestimate the impact they will have because of any delay is short sighted

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Sodium chloride 0.9% (normal saline) contains sterile water and sodium chloride (salt) to create an isotonic solution

Efficacy of dipeptidyl peptidase-4 inhibitor linagliptin in patients with type 2 diabetes undergoing hemodialysis