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The practical consequence: if you have chronic kidney disease alongside type 2 diabetes, the choice between these drugs is not interchangeable, and it is worth naming the kidney indication explicitly when you talk to your prescriber

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This includes: The chemical identity of the substance Whether the substance is identical or nearly identical to an approved drug How the product is marketed and distributed Who the customers are The foreseeable or intended use of the product If a substance is an approved drug molecule and is sold in ways that mirror clinical or consumer demand, regulators may treat it as a drug even if the label says, Research Use Only. This principle has existed for decades