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The answer lies in a combination of: Complex biologic manufacturing Patent protections limiting competition High consumer demand Insurance coverage inconsistencies U.S

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We strongly advise consumers against using prescription medications that are offered or issued without a valid prescription and consultation with a health practitioner. They said counterfeit therapeutic goods could not be imported, advertised or supplied under any circumstances

[5] Contraindications include personal or family history of medullary thyroid carcinoma, multiple endocrine neoplasia syndrome type 2, and serious hypersensitivity to the medication