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Mbakwe helped to set up the internal medicine department at Central Washington internal medicine, Yakima, Washington State
estradiol patches after Bayer discontinued Climara in 2023), the FDAs removal of boxed warnings on HRT products (which accelerated prescribing), and tariff pressures on overseas pharmaceutical manufacturing
However, it's important to note that titration schedules differ between products and indications for instance, semaglutide for weight management (Wegovy) follows a different titration schedule
References Medicines and Healthcare products Regulatory Agency
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