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Some warning signs include no named compounding pharmacy, no certificates of analysis available upon request, no prescriber review before dispensing, and shipping from international addresses
It is less expensive than GLP-1 options and may be covered by some plans, but has more contraindications (not suitable for patients with cardiovascular disease or history of certain conditions)
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Cost has been one of the biggest barriers to treatment, with many patients unable to access these medications because insurance coverage is limited and out-of-pocket prices remain high
This result led to FDA approval of Wegovy for an additional cardiovascular indication in March 2024
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