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The right way to think about it is as a possible successor in the fifteen-year lineage that produced tirzepatide, not as a current alternative to it

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The BMJ has separately framed Canada's position as only the second country in the world to approve a generic form of Ozempic, attributing the pathway in part to Novo Nordisk not paying a C$250 annual fee [Source: bmj.com/content/393/bmj-2026-597166]