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It was a coordinated recalibration across multiple state affiliates, each arriving at the same conclusion independently: the current trajectory of GLP-1 spending was unsustainable under existing premium structures
The evidence base is robust, effects are predictable, and medical supervision protects safety
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J Med Assoc Thail Chotmaihet Thangphaet (2010) 93 Suppl 7:S166170
Patients should be counseled never to administer extra doses to make up for missed doses, as this could increase the risk of adverse effects without providing additional therapeutic benefit
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