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That is because the US is one of the few countries where this medication is currently approved

M., Gianfrilli, D., Moretti, C., Caprio, M., & Watanabe, M

Carter BZ, Mak DH, Morris S, Borthakur G, Estey E, Byrd AL, Konopleva M, Kantarjian HM, Andreeff M

The decision to use GLP-1 receptor agonists should be based on their licensed indications (diabetes or obesity management) rather than cholesterol lowering alone, with lipid improvements considered a beneficial additional effect within a comprehensive cardiovascular risk reduction strategy