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Alternative access routes: Private prescription: Available through private GPs, specialist weight management clinics, or online prescribing services, though costs are substantial Clinical trials: Some research studies recruit menopausal women, offering supervised access to these medications Diabetes indication: Women with type 2 diabetes may access GLP-1 receptor agonists through diabetes services according to NICE NG28 guidance Patients should discuss their individual circumstances with their GP to determine eligibility and local access pathways

Experts say that if generic production reduces prices to sustainable levels, large-scale treatment could extend into low- and middle-income countries, much as has occurred with therapies for HIV, tuberculosis, and malaria