What has changed is not the feasibility of developing drugs without complete biological knowledge, but the expectation that developers be transparent about what is and is not known, and that uncertainty be actively managed rather than minimized (ICH E9 guidance
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For patients who struggle with obesity, which is linked to diabetes, heart disease, and reduced life expectancy, the denial of coverage for a drug like Foundayo can be much more than frustrating it can adversely alter lives
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