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Its thought that many things contribute such as environmental, genetic, infectious, immune, and non-immune factors
A big part of the cost comes down to the drugs development, which involved years of rigorous clinical trials, not to mention the higher cost of manufacturing the prefilled pens versus a simpler delivery method like a pill

Take patients with diabetic neuropathy - their gastric transit time actually got faster with liraglutide (from 1:12:36 to 0:48:40 hours), though the change wasn't huge [19]
Weight discrimination may even literally take years off peoples lives

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Hormonal Birth Control: Though useful for regulating menstrual cycles, it does not address underlying metabolic issues such as insulin resistance or obesity