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Asset impairment, restructuring and other events, including: U. Japan for relapsed or refractory mantle cell lymphoma who are resistant or intolerant to other Bruton tyrosine kinase inhibitors; Submission of tirzepatide in the terramycin sales in jamaica U. Zepbound, Mounjaro and Verzenio, partially offset by lower Trulicity sales. Increase for excluded items: Amortization of intangible assets (Cost of sales)(i) 139. Zepbound 1,243.

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