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By selecting “Submit” below and providing your personal and/or medical data above, you certify that you are at least 18 years old, and that you are authorizing Takeda to use your data to provide you with information about products and disease-states from Takeda, its affiliates, service providers, and co-promotion partners. In addition to information about Takeda products, disease states, and related health conditions or treatments, you understand this may include information about financial assistance programs, clinical trials and market research opportunities, and other support services or programs Takeda may in the future develop for patients. Additionally, your information may be used for market research purposes.

Takeda respects your personal information. All personal and/or medical information you have provided will be kept confidential and will not be used or distributed to anyone for any purpose other than what is explained in our Privacy Notice. We encourage you to read our Privacy Notice by clicking on this link: Review Takeda Privacy Notice. This consent will be in effect until such times as you opt out of the program.