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Pandya V, Chandra AA, Scotti A, Assafin M, Schenone AL, Latib A, Slipczuk L, Khaliq A

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The interaction affects absorption but is manageable with proper timing and dose adjustments if needed

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In addition, bacteria are regulated by host-derived neurotransmitters, hormones, and cytokines 20

The question for the major manufacturers and plan sponsors is whether to support this ecosystems growth as a strategic counterweight to PBM bargaining power, or to continue managing their PBM relationships defensively in a system that benefits neither manufacturers nor patients