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For NYC patients approaching Medicare or already enrolled in Part D, this may become an important bridge between todays uneven obesity-drug coverage and broader future access

However, native GLP-1 has a limited half-life (1.55 min) due to its degradation by the enzyme Dipeptidyl peptidase 4 (DPP-4), necessitating the development of GLP-1 receptor agonists (GLP-1RAs) with longer activity (Campbell and Drucker 2013)

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If anabolic steroids are being used, additional monitoring of liver function tests, full blood count, haematocrit (risk of erythrocytosis), and cardiovascular parameters is advisable given the hepatotoxic and cardiotoxic potential of AAS

GLP-1 medications like ozempic slow the rate at which food leaves the stomach