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Some analysts had thought that Pfizer, racing to close the gap with Lilly and Novo, might skip that step and move to a later-stage study in attempt to get regulatory approval sooner

1,4 SUSTAIN 5: add-on basal insulin 1,10 In adult patients with type 2 diabetes on basal insulin metformin Mean change in A1C from baseline at Week 30 Patients with A1C 8% at screening had their background basal insulin dose reduced by 20% at the start of the trial to limit the potential risk of hypoglycemia

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Observational studies have reported improvements in erectile function scores, though more robust research is needed to confirm these benefits