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On July 29, 2025, Novo cut its sales and profit outlook, citing persistent use of compounded GLP-1s, slower-than-expected market expansion, and competitiondevelopments that the complaint alleges were in direct contrast to earlier assurances

It also creates a coding error that payers and OIG auditors can flag during claims review

Moreover, following surgically-induced weight loss in morbid obesity, the elevated adipocyte DPP-4 release, and circulating DPP-4 levels were both substantially reduced, further suggesting that the adipose tissue is likely to be a major source of plasma DPP-4 (79)

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