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Singh, Senior Consultant Endocrinologist at G.D Hospital & Diabetes Institute, Kolkata, noted, This makes oral semaglutide a key oral antidiabetic drug for early intervention, especially for high CV risk patients ahead of a DPP-4 inhibitor

On September 19, 2025, the FDA issued Import Alert 66-80, which authorizes field staff to detain without physical examination shipments of GLP-1 active pharmaceutical ingredients (APIs) from manufacturers not included on its newly established Green List.[1] This action follows FDAs September 5 th announcement of the Green List initiative to curb illegal imports of semaglutide, tirzepatide, and other corresponding APIs.[2] Together, the Green List and Import Alert form FDAs most aggressive enforcement measures to date against GLP-1 imports

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This creates a virtuous cycle

A few things to note about this study is that there was no significant increase in risk for people after three years on these medications

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