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the small molecule oral cannabinoid receptor 1 (CB1) inverse agonist, Monlunabant

The molecular weight barrier and oral bioavailability limitation apply regardless of dose

This distinguishes the pen from any licensed pharmaceutical product dispensed through a UK pharmacy: there is no Marketing Authorisation, no SmPC (Summary of Product Characteristics), and no patient information leaflet

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The tight budget argument, when used, is often a blanket statement referring to the overall pressure on NHS resources, not the specific cost of a single appointment