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others include ETASU (Elements to Assure Safe Use) requiring prescriber certification, patient enrollment in registries, and dispensing only through certified pharmacies

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Conversely, internationally, Perjeta experienced continued growth, partly because Phesgo had not yet been launched or reimbursed in some major markets, resulting in a relatively lower impact from patient conversion

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Fatigue is another common early symptom, as healthy kidneys are responsible for filtering waste from the blood and producing erythropoietin, a hormone that supports red blood cell production

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