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High Demand and Profitability of Glp-1 Drugs Fuel Gray and Counterfeit Markets in China, Which Lilly Aims to Address Chinese Market Targets Glp-1 Derivatives, Exploiting Patent Loopholes and Subsidies To Undercut Lilly Chamath Palihapitiya draws attention to an active gray market for Glp-1 drugs in China

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Its unusual stability in acidic environments (pH 12 gastric fluid) has been documented, though the structural basis for this resistance is not fully characterized

Response: We appreciate commenters' input regarding the burden associated with reporting on the HCHE and FCHE measures