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FDA Commissioner Robert Califf added his voice to the dispute, reminding all holders of drug approvals that they are obligated to ensure that patent listings comply with statutory and regulatory requirements and to substantively respond to statements of dispute provided under the FDAs patent listing dispute process. The move is further evidence of increasing scrutiny of the activities of the pharma industry by the FTC, which has also been taking a tougher stance on mergers and acquisitions in the sector and launching investigations into the role of pharmacy benefit managers in the medicines supply chain.

This therapy benefits patients with malabsorption issues and older adults who often struggle with oral absorption

Practical steps that may help include: Nutritional assessment : A GP can arrange blood tests to check for deficiencies in ferritin, iron, vitamin B12, folate, vitamin D, and thyroid function all of which can contribute to hair loss independently of tamoxifen

Patients are often advised to fast for several hours before the test, as recent food intake can affect folate measurements