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Let me restructure

Generic and biosimilar timeline The pharmaceutical patent landscape suggests that generic and biosimilar versions of current GLP-1 medications will eventually enter the market, though not immediately

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Fat loss happens later, once calorie intake decreases consistently and insulin sensitivity improves

During the item generation and discussion and clarification phases, the experts identified 14 distinct challenges: costs, supply challenges, lack of evidence, polypharmacy, barriers to prescription, lack of knowledge, adherence concerns, aversion to injection therapy, clinical inertia, titration needs, perceived health state, fear of adverse effects, lack of clinical guideline recommendations, and lack of measurable outcomes to guide therapy