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One governance-focused industry analysis puts it directly: without Quality by Design (QbD) principles built into study design from the start, decentralization becomes fragmentation a patchwork of one-off systems per trial rather than a scalable, repeatable model

Abbasinejad and the team explain that both Mounjaro and Ozempic are effective GLP-1 based medications used for weight management , but clinical studies and patient experience often show that Mounjaro may lead to greater average weight loss in many individuals

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