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The appraisal usually adds 12-18 months to MHRA approval, putting NHS availability in 2029 at the earliest
For example, a patient stepping down from 2 mg of semaglutide weekly might see 0.25 mg as a microdose, even though it is the standard approved starting dose
That's when their everyday tools fail them, and then, finally
Oral semaglutide has been on the market to treat type 2 diabetes since 2019
The unanswered questions are just as important: long-term risk, final labeling, real-world tolerability, and appropriate access
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