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Under the Canadian patent law, once a patent lapses for non-payment, it cannot be reinstated
The way we digest fats and bile might change how well we absorb these medicines

How Patients Gain and How They Get Hurt 6.1 Clear Benefits Semaglutide can significantly reduce blood sugar, promote weight loss of 1015% or more of body weight in many patients, and lower the risk of heart and kidney complications in highrisk groups.[12][13][3] For many people with diabetes and obesity, that translates to fewer heart attacks, less disability, and potentially longer, healthier lives.[1][3] 6.2 Real Harms and Tradeoffs Affordability and access: At current prices, longterm semaglutide therapy is out of reach for most patients worldwide without strong insurance or publichealth support.[18][28] Crowding out budgets: When a single class of drugs consumes a big chunk of health budgets, other areasvaccines, primary care, older but useful drugscan get squeezed.[29][18] Evergreening delays generics: By keeping cheaper competitors out, evergreening keeps prices high for longer, meaning millions of patients either delay treatment or never start it.[14][19][22] Safety and hype cycles: Rapid, celebritydriven uptake can outpace longterm safety data, leaving regulators and courts to deal with adverseevent litigation years later, as seen in emerging lawsuits.[25][13] Key point: The same system that produces lifechanging drugs can also keep them scarce, expensive and unevenly distributed

District Judge Karen Marston, of the Eastern District of Pennsylvania, allowed some misrepresentation claims to go forward but tossed design defect and medical monitoring allegations