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Acknowledgments The authors would like to thank the other employees of Falsified Medicines and Medical Devices Department of National Medicines Institute for their assistance with preparing photographic documentation of samples and preparing samples for analysis

The competition among oral GLP-1 small molecules benefits patients in several ways: price competition should lower treatment costs, different pharmacokinetic profiles provide options for patients who don't tolerate one agent, and the pressure to differentiate drives development of improved formulations

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