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The cost-effectiveness calculation also depends on treatment duration

Texas is a large state with significant rural populations across West Texas, the Panhandle, and East Texas where specialist access is limited

Achieving a healthy weight with ketogenic therapy is not considered remission of obesity, because its assumed that either the ketogenic therapy will stop working or the patient (or physician) will not maintain the diet

Results vary from person to person, but many individuals begin noticing changes within the first few weeks of treatment

Many states allow weight loss medications to be prescribed entirely via telehealth without requiring in-person visits: California explicitly permits telehealth evaluations as sufficient for prescribing weight loss medications

Mathur et al., Insight into Structure Activity Relationship of DPP-4 Inhibitors for Development of Antidiabetic Agents, Molecules, vol