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In early 2022, I recall seeing another shift in utilization from GLP-1s with less weight loss benefit (Victoza, Soliqua, Trulicity, etc.) to Ozempic and Mounjaro, creating a consolidation in usage that along with other factors likely led to minor rebate improvement but increased initial costs

If you are paying privately for Wegovy or Mounjaro for weight management, factor in the cost of titration: doses step up monthly over 1620 weeks before reaching maintenance, so the first 45 months are often cheaper before the full-dose pen

The fruit adds natural sweetness and fiber without being too heavy

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Boylan MO, Glazebrook PA, Tatalovic M, Wolfe MM