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Cost control can preserve access through tighter prior authorization, step therapy, BMI thresholds, and wellness-program participation, aligning with patient support for structured eligibility rules

Overusing preserved sterile water beyond recommended days risks bacterial contamination

At the same time, B12 insufficiency in the liver leads to shrinking of the intestinal cells and malabsorption of nutrients (including B12 itself), leading to a cycle of worsening B12 deficiency

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In this way, FM 2.0 reframes GLP-1 therapy as part of a precision-guided reset a bridge toward biological self-regulation, not the endpoint of care