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A recent retrospective cohort study looked at GLP-1 adherence in patients with obesity and with/without diabetes: Those with T2DM: 46.5% discontinued by year one 64.1% discontinued by year two Those without T2DM: 64.8% discontinued by year one 84.4% discontinued by year two So yes access is a problem

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When appropriate and with patient consent, I find it valuable to understand the broader treatment context, including how long a patient has been on therapy, whether dosing has changed recently, and what the anticipated long-term plan looks like, since all of these factors shape what aesthetic approach makes the most sense at a given point in time

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