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There is no separate mental-health screen, no validated PHQ-2 or PHQ-9, no follow-up, no resource referral, and no acknowledgment that the question carries different weight than the others on the same list

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9 This was a 72-week double blind, randomized, placebo-controlled phase 3 trial comparing tirzepatide 5mg, 10mg, and 15mg to placebo

Surgery reduces healthcare costs within 25 years by lowering medication use, hospitalizations, and disability [175]
