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In Africa, GLP-1 access is currently limited primarily to private healthcare patients in South Africa, Nigeria, and Kenya, constrained by cost barriers that are not addressable without biosimilar entry or government subsidy programs

For example, Ozempic may be kept at room temperature (up to 86F/30C) for 56 days after first use, while Victoza and Saxenda allow 30 days at room temperature

LK, ELF, HEP, ALM, MPA, and UPB contributed to critical review of the manuscript, data interpretation, and manuscript editing

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