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For pharma, the warning is clear: cash-pay channels may absorb some demand, but affordability remains the Achilles heel of this market

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Sweeteners (maltitol syrup, isomalt, steviol glycosides), Acetyl-L-carnitine, Gelling agent (pectin), Acidity regulator (sodium citrate), Ashwagandha root extract (10:1), Alpha-cyclodextrin, Natural flavouring (mango), Vegetable oil (palm, containing glazing agent (carnauba wax)), Citrus fibre, Colour (beta-carotene), Vitamin B6 (as pyridoxine hydrochloride), Vitamin B12 (as cyanocobalamin)

These advanced therapeutics hold the potential to revolutionize the management of metabolic disorders by providing sustained benefits for glucose control, weight loss, and overall metabolic health [80,81,82] (Table 1)