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Conversely, in parts of Europe, continuous release of pharmaceuticals from senior care facilities and hospitals has been identified as a point source of persistent environmental contamination [67]

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Four studies [31, 33, 35, 40] reported severe hypoglycaemia, with 3075 events observed among the 70,828 (4%) participants in the combination therapy group compared with 2284 events among the 72,657 (3%) participants in the monotherapy group (ESM Table 8)

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