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In January 2025, the FTC released a second interim staff report finding the Big 3 PBMs marked up specialty generic drugs by thousands of percent, generating over $7.3 billion in excess revenue from 20172022 ( [45] )

Even supplements such as high-dose iron or specific herbal remedies can play a role

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Psychiatric researchers studying GLP-1s for addiction treatment have noted similar findingsthese drugs may help reduce the urge to drink, smoke, or engage in compulsive behaviors by re-calibrating dopamine sensitivity

Its increasingly becoming the standard for good psychiatric practice, at least for those of us who specialize in complex cases where standard approaches havent worked

Some diabetes medications can increase your insulin levels if taken with Ozempic