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Includes provider consult, compounded medication, needles, swabs, and doorstep delivery

No decreased bone density

Unlike GLP-1RAs, particularly dulaglutide (254), SGLT-2 inhibitors have not demonstrated cardiovascular benefits in primary prevention among individuals with multiple cardiovascular risk factors (261)

Twice-daily exenatide (Byetta) requires more specific timing: it should be administered within 60 minutes before the two main meals of the day (typically breakfast and dinner), at least 6 hours apart

Have a BMI of 27+ with weight-related health concerns Struggle with portion control, constant hunger, or failed past diets Are looking for a weight loss program in NYC with clinical oversight Are ready to commit to long-term lifestyle changes Is GLP-1 weight loss safe