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4.2 Hospital Pharmacies and Bulk Purchase Corporate and large hospitals: Often negotiate better institutional pricing with companies in exchange for volume, which can make their in-house pharmacy cheaper for GLP-1s than retail chemists

doi: 10.1097/ALN.0000000000005204

And they should. Buhler gives an example of the difference between doctors who simply prescribe drugs to mask symptoms and those who correct underlying problems so the symptoms go away: If you have high blood pressure, youre going to be given high blood pressure medication, right? he says

Longer term For longer protocols, review metabolic and muscle-stress context every 3-6 months with a clinician

The goal is progress that feels manageable and sustainable, not extreme or rushed