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The Pittsburgh resident has had diabetes for more than 40 years

The membership includes an initial consultation and a medical evaluation, additional clearances when needed, access to GLP-1 medications, weekly weigh-ins, and ongoing physician oversight

Unless you also adopt effective diet changes

The researchers noted several important limitations, including the retrospective observational design, inability to verify medication adherence, and potential residual confounding despite propensity matching

Ballinger, T
