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GLP-1 is not covered by insurance for people who are not diabetic type 2

In rare cases, additional side effects like hypoglycemia may occur, although episodes appear to be minor and more likely in patients who take other medications that also lower blood glucose
N Engl J Med (2019) 380(4):34757

Theres also a supply chain angle

Alabama ranks top 5 in the nation for Ozempic-type drug prescriptions The Yellowhammer state has an obsession, and it isn't football or Conecuh sausage it's Ozempic