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The weight loss industry has been extremely commercialized, and there are a lot of snake oil salesmen out there
This is a timely topic, as a case-control study published in 2023 suggests an increased risk for both medullary and all thyroid cancers in patients with diabetes who were being treated with GLP-1 receptor agonists
A multidisciplinary expert consensus published in Frontiers in Endocrinology recommends starting with osmotic laxatives (MiraLAX or magnesium) and only escalating to stimulant laxatives if osmotic options prove insufficient after 2-3 weeks of consistent use
However, Medicare and private payers have yet to determine whether they will cover the medications for weight loss, primarily citing concerns about cost and potentially high utilization rates
A two-way ANOVA was used to compare time-dependent effect
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