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The disparity in coverage between the anti-diabetic and anti-obesity GLP-1s shows how payer behavior is driven by the perceived medical necessity of products by their intended use, not by the molecule itself

in fact, Europe banned it back in 2001

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Albiflorin attenuates neuroinflammation and improves functional recovery after spinal cord injury through regulating LSD1-mediated microglial activation and ferroptosis

And the 2002 WHI study created a liability fear that never went away, even after the research was retracted, reanalyzed and debunked more than a decade ago