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Each of these cities has been part of the broader grey market peptide landscape for years, though brand-name Mounjaro from legitimate pharmacies is distinct from grey market products
Ethics declarations Funding The authors wish to thank Daniel Soares Freire, MD, PhD for providing medical writing and Cristiane Mapurunga Aoqui Guenoub, MD, PhD for providing assistance with English-language editing, both on behalf of Springer Healthcare
The remaining 5% of cases involve Medicaid (some state Medicaid programs cover Wegovy, most don't), VA benefits (VA covers Wegovy for veterans with BMI 30+ or 27+ with comorbidity), or TRICARE (covers Wegovy with prior authorization)
The definition of very low certainly is that we have very little confidence in the effect estimate (the true effect is likely to be substantially different from the estimate of effect)
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