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Description
During follow-up, 1,670 subjects in the GLP-1 cohort and 1,886 in the DPP-4 cohort developed epilepsy, or 2.35% vs 2.41%

Sustainable value chains and pricing insights are becoming key factors as payers focus on cost-effectiveness
This can come in the form of injections or oral alternatives

The key remaining challenges are universal connectivity (so no patient falls through a gap), robust AI support (to minimize human effort), and ongoing alignment of payer rules to ensure that the ePA process is meaningful rather than a mere formality
This competitive architecture creates distinct strategic layers: duopoly incumbents maximizing anti-obesity medication penetration

I used to love lifting heavy weights, but because I've had a stroke and other health issues, I can't do those things
