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Say, for instance, other pharma companies get a piece of the insulin market with their cheaper biosimilars, and Novo cedes some of the insulin business

Noda Y, Miyoshi T, Oe H, Ohno Y, Nakamura K, Toh N, Kohno K, Morita H, Kusano K, Ito H (2013) Alogliptin ameliorates postprandial lipemia and postprandial endothelial dysfunction in non-diabetic subjects: a preliminary report