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Multiple additional reports later confirmed that carbapenems do indeed lower VPA levels, sometimes by as much as 90%

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In the private sector, prescribing is less restricted, but treatment is almost entirely self-funded unless covered by an insurer, so we tend to see higher uptake among those with stronger financial means or those who meet the criteria for public-sector subsidy support. A similar dynamic is seen in Malaysia, where GLP-1-based RAs are available but not yet universally incorporated into public hospital formularies due to cost constraints