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Saleme, B., et al

Covering GLP-1s without a behavior change strategy can lead to: Long-term drug dependency High pharmacy costs Minimal ROI on obesity-related claims reduction Member dissatisfaction and churn when weight rebounds What happens when GLP-1s are used alone Medication-only models, often seen in direct-to-consumer platforms, may offer: Fast access to prescriptions Minimal clinical oversight No structured support or tapering strategy The result

1,2 Serum vitamin B 12 levels may be artificially elevated in patients with alcoholism, liver disease, or cancer because of decreased hepatic clearance of transport proteins and resultant higher circulating levels of vitamin B 12

The following counseling tips can help dietitians, and all clinicians, improve short- and long-term use of these weight management medications

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