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The counterfeit drugs are sold as equivalents to the blockbuster semaglutide drugs, Ozempic and Wegovy, which are prescription only

Because ovulation, clinical pregnancy, time to pregnancy, and live birth were inconsistently defined and sparsely reported across trials, no confirmatory quantitative synthesis or treatment ranking was undertaken for these reproductive outcomes

These may not fully reflect real-world outcomes in Greece and, given the BMI-only surrogate approach, may underestimate pathways not directly mediated through BMI

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