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This study demonstrates the chronic nature of obesity as a disease and the need for long-term treatment to improve and maintain body weight and health

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Without that clinical context, its easy for associations to be made that arent necessarily causal

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Efficacy We found that GLP-1s have a significant impact on weight loss and managing HbA1c, but the magnitude of the effects varied for GLP-1 users as compared to controls based on whether patients were diagnosed with type 2 diabetes only, obesity or overweight only, or both type 2 diabetes and obesity or overweight/obesity