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The compound's half-life is long enough that you'll maintain plasma levels, but the gastric effect peaks and wanes in a predictable curve

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It is knowing which patient needs a GLP-1 and which one needs a workup, how to titrate through the nausea window without losing the patient, how to protect lean mass during rapid loss, how to screen for the contraindications that matter, and how to tell a patient honestly what an adjunct will and will not do for them

Other companies, like Eden or Ivy RX, charge about the same, but they dont upcharge for increased doses