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Washington also has a significant tech industry workforce concentrated in the Seattle area, many of whom are accustomed to managing services digitally and may prefer the asynchronous, app-based experience that telehealth weight loss platforms offer over traditional clinic visits
Patients on long-term tirzepatide therapy (12+ months) with persistent reflux should undergo esophagogastroduodenoscopy (EGD) to assess for erosive changes or Barretts development, particularly if they have other risk factors like smoking, obesity, or family history of esophageal cancer
World Health Organization, Regional Office for the Eastern Mediterranean
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