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The member also noted that serious safety events like liver damage are not detectable through patient self-report, making post-market surveillance inadequate as a substitute for pre-market clinical trials

People with chronic kidney disease, liver disease, or other relevant conditions should seek clinical advice before increasing protein intake

But since compounded forms of the drug are not FDA-approved, those who make, prescribe or use them also should have "an increased level of responsibility or awareness," she said

Novo Nordisk officials say the new formulation delivers the same efficacy and safety profile as the originally approved formulation, but at a lower dose