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within those parameters, it performed well GLP-1s introduced mass-market volume, direct-to-patient distribution channels, and seasonal variability that the existing architecture was never designed to absorb Fill-finish capacity became dangerously concentrated, with 60% of global GLP-1 sterile fill-finish volume held in just three geographic locations The shift to specialty pharmacy and home delivery exposed lane design failures, carrier handoff gaps, and last-mile accountability deficits that predate GLP-1 entirely These are structural conditions, not operational incidents

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It does not suppress LH, FSH, or endogenous testosterone in any documented study