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The trigger is a telogen effluvium caused by rapid, significant weight loss

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Regeneron, Amgen, and even Ozempic maker Novo Nordisk itself are developing new weight loss drugs as demand soars The race is intensifying among pharmaceutical companies aiming to disrupt the weight loss drug duopoly dominated by Novo Nordisk, known for making Ozempic and Wegovy, and Eli Lilly $LLY, the producer of Zepbound

Unlike NCE exclusivity, it does not prevent ANDA submission it only prevents FDA approval of an ANDA for the applicable change