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Type 2 diabetes is a chronic condition characterized by insulin resistance and impaired insulin secretion, leading to varying degrees of hyperglycemia

The authors of the study acknowledge this

The actual reason no generic exists yet is that no manufacturer has filed an Abbreviated New Drug Submission (ANDS) referencing Wegovy specifically demonstrating bioequivalence at the higher Wegovy doses and pursuing the weight-management indication is a separate regulatory exercise from the diabetes-indication ANDS filings that have just cleared

it examines the dosing question on its own terms

"Nutrients and sperm quality: meta-analysis." Adv Nutr 2018;9:833-48