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In developed markets (e.g., US), companies fight extensions/litigation/pay-for-delay to stretch exclusivity

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2018 Apr;6(7):e13650

Specifically, thiamine is important for glucose metabolism [51] and type 2 diabetics have been observed to have lower-than-average thiamine levels, suggesting that some degree of thiamine deficiency may play a role in the onset of diabetes

The healthiest people I know all understand this simple but important fact