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So the same pharmaceutical company makes a pure insulin product (Toujeo), a combination insulin-plus-GLP-1 product (Soliqua), and markets them through similar channels to similar patient populations

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This suggest that plausibly hyperplastic stroma might have carried increased potential of expressing HSD3B1 gene which could have led to increased androgen biosynthesis via cytochrome P450 family 17 subfamily A member 1 ( CYP17A1 ) activation