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Saxenda, the second to be approved, only achieved middling weight-management results for a large share of those who took it, and physicians were reticent to prescribe weight-loss medications after the disastrous effects of drugs such as fen-phen were revealed in the late 90s

As one industry expert notes, the GLP-1 PA workflow is very complex and has produced high volumes of authorization requests and extensive paperwork, leading to patient access delays and administrative fatigue ( [3] )

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