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Until head-to-head trials establish dose equivalencies (if they ever do), the safest approach is to start each compound from its baseline titration schedule

however, other factors, such as side effects and route of administration (most all GLP1 receptor agonists are administered via subcutaneous injection) can also contribute to patients discontinuing their GLP1 receptor agonists

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The simple answer is because they can. In 2024 alone, Novo Nordisk pulled in over $26 billion from Ozempic and Wegovy

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E-pharmacy and wellness platforms drove accessibility, especially outside Tier 1 cities