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domains/glp1-obesity/learning-graph.csv
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@@ -30,20 +30,20 @@ ConceptID,ConceptLabel,Dependencies,TaxonomyID
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| 30 |
29,Dulaglutide (Trulicity),26,DRUG
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| 31 |
30,Exenatide (Byetta / Bydureon),26,DRUG
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| 32 |
31,Tirzepatide (Mounjaro / Zepbound),4|5|26,DRUG
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| 33 |
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32,Oral semaglutide (Rybelsus),28,DRUG
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33,Dose escalation protocol,26,DRUG
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34,Subcutaneous injection formulation,26,DRUG
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35,Half-life and dosing interval,26,DRUG
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| 37 |
36,Once-weekly administration,28|29|31|35,DRUG
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| 38 |
37,Dual GIP/GLP-1 agonism,31|4|5,DRUG
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| 39 |
38,Triple agonism (GLP-1/GIP/glucagon),37,DRUG
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| 40 |
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39,Small molecule GLP-1 receptor agonists,26,DRUG
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| 41 |
40,Weight loss efficacy endpoints,15|26,TRIAL
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| 42 |
41,HbA1c reduction endpoints,19|26,TRIAL
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| 43 |
42,SUSTAIN trial program (semaglutide T2DM),28|41,TRIAL
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| 44 |
43,STEP trial program (semaglutide obesity),28|40,TRIAL
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| 45 |
44,SURMOUNT trial program (tirzepatide obesity),31|40,TRIAL
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| 46 |
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45,SELECT trial (semaglutide cardiovascular),28|24|40,TRIAL
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| 47 |
46,LEADER trial (liraglutide cardiovascular),27|24|41,TRIAL
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| 48 |
47,SCALE trial program (liraglutide obesity),27|40,TRIAL
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| 49 |
48,AWARD trial program (dulaglutide),29|41,TRIAL
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@@ -72,8 +72,8 @@ ConceptID,ConceptLabel,Dependencies,TaxonomyID
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| 72 |
71,Idiopathic intracranial hypertension,14,SPEC
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| 73 |
72,Kidney transplant candidacy,23,SPEC
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| 74 |
73,Atrial fibrillation,24,SPEC
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| 75 |
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74,Heart failure,24,SPEC
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| 76 |
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75,Obstructive sleep apnea,14|16,SPEC
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| 77 |
76,Major depressive disorder with obesity,65,SPEC
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| 78 |
77,Alcohol use disorder,65,SPEC
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| 79 |
78,Bariatric surgery (reference comparator),14|40,SPEC
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@@ -84,8 +84,48 @@ ConceptID,ConceptLabel,Dependencies,TaxonomyID
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| 84 |
83,GLP-1RA plus exercise intervention,80|52|53,COMBO
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| 85 |
84,GLP-1RA plus metformin,80|26,COMBO
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| 86 |
85,GLP-1RA plus bariatric surgery,79|80,COMBO
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| 87 |
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86,GLP-1RA discontinuation protocols,61|80,COMBO
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| 88 |
87,Real-world effectiveness vs trial efficacy,43|44|47,COMBO
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| 89 |
88,Cost-effectiveness of GLP-1RA therapy,26|40,COMBO
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| 90 |
89,Access and affordability barriers,88,COMBO
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| 91 |
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90,Pipeline agents
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| 30 |
29,Dulaglutide (Trulicity),26,DRUG
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| 31 |
30,Exenatide (Byetta / Bydureon),26,DRUG
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| 32 |
31,Tirzepatide (Mounjaro / Zepbound),4|5|26,DRUG
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| 33 |
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32,Oral semaglutide (Rybelsus 14mg),28,DRUG
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| 34 |
33,Dose escalation protocol,26,DRUG
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| 35 |
34,Subcutaneous injection formulation,26,DRUG
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| 36 |
35,Half-life and dosing interval,26,DRUG
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| 37 |
36,Once-weekly administration,28|29|31|35,DRUG
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| 38 |
37,Dual GIP/GLP-1 agonism,31|4|5,DRUG
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| 39 |
38,Triple agonism (GLP-1/GIP/glucagon),37,DRUG
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| 40 |
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39,Small molecule oral GLP-1 receptor agonists,26,DRUG
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| 41 |
40,Weight loss efficacy endpoints,15|26,TRIAL
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| 42 |
41,HbA1c reduction endpoints,19|26,TRIAL
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| 43 |
42,SUSTAIN trial program (semaglutide T2DM),28|41,TRIAL
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| 44 |
43,STEP trial program (semaglutide obesity),28|40,TRIAL
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| 45 |
44,SURMOUNT trial program (tirzepatide obesity),31|40,TRIAL
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| 46 |
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45,SELECT trial (semaglutide cardiovascular outcomes),28|24|40,TRIAL
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| 47 |
46,LEADER trial (liraglutide cardiovascular),27|24|41,TRIAL
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| 48 |
47,SCALE trial program (liraglutide obesity),27|40,TRIAL
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| 49 |
48,AWARD trial program (dulaglutide),29|41,TRIAL
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| 72 |
71,Idiopathic intracranial hypertension,14,SPEC
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| 73 |
72,Kidney transplant candidacy,23,SPEC
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| 74 |
73,Atrial fibrillation,24,SPEC
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| 75 |
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74,Heart failure with preserved ejection fraction (HFpEF),24,SPEC
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| 76 |
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75,Obstructive sleep apnea (OSA),14|16,SPEC
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| 77 |
76,Major depressive disorder with obesity,65,SPEC
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| 78 |
77,Alcohol use disorder,65,SPEC
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| 79 |
78,Bariatric surgery (reference comparator),14|40,SPEC
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| 84 |
83,GLP-1RA plus exercise intervention,80|52|53,COMBO
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| 85 |
84,GLP-1RA plus metformin,80|26,COMBO
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| 86 |
85,GLP-1RA plus bariatric surgery,79|80,COMBO
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| 87 |
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86,GLP-1RA discontinuation and maintenance protocols,61|80,COMBO
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| 88 |
87,Real-world effectiveness vs trial efficacy,43|44|47,COMBO
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| 89 |
88,Cost-effectiveness of GLP-1RA therapy,26|40,COMBO
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| 90 |
89,Access and affordability barriers,88,COMBO
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| 91 |
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90,Pipeline agents overview,38|39,PIPELINE
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| 92 |
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91,Retatrutide (GLP-1/GIP/glucagon triple agonist),38,PIPELINE
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| 93 |
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92,TRIUMPH trial program (retatrutide),91|40,PIPELINE
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| 94 |
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93,CagriSema (cagrilintide plus semaglutide),28,PIPELINE
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| 95 |
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94,REDEFINE trial program (CagriSema),93|40,PIPELINE
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| 96 |
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95,Amycretin (amylin-GLP-1 dual agonist),26,PIPELINE
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| 97 |
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96,Amylin receptor signaling,10,FOUND
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| 98 |
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97,Amycretin mechanism,95|96|2,PIPELINE
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| 99 |
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98,Oral semaglutide 50mg formulation,32|28,PIPELINE
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| 100 |
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99,GLP-1 biosimilars,26,PIPELINE
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| 101 |
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100,SURMOUNT-5 head-to-head trial (tirzepatide vs semaglutide),31|28|44|43,TRIAL
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| 102 |
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101,SURMOUNT-5 primary outcome 72-week weight loss,100|40,TRIAL
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| 103 |
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102,Tirzepatide superior weight loss vs semaglutide,100|101,TRIAL
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| 104 |
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103,STEP-HFpEF trial (semaglutide in heart failure),28|74|40,TRIAL
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| 105 |
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104,STEP-HFpEF outcomes Kansas City Cardiomyopathy Score,103|74,TRIAL
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| 106 |
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105,SELECT trial 20 percent MACE reduction non-diabetic,45|50,TRIAL
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| 107 |
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106,SELECT cardiovascular benefit mechanism,45|105|24,TRIAL
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| 108 |
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107,FLOW trial (semaglutide in chronic kidney disease),28|23|51,TRIAL
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| 109 |
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108,FLOW trial renal and cardiovascular endpoints,107|51|50,TRIAL
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| 110 |
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109,SURMOUNT-OSA trial (tirzepatide in sleep apnea),31|75|44,TRIAL
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| 111 |
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110,Zepbound FDA approval for moderate-severe OSA 2024,31|75|109,APPROVAL
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| 112 |
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111,Wegovy FDA approval for cardiovascular risk reduction 2024,28|45|105,APPROVAL
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| 113 |
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112,Wegovy pediatric approval ages 12 plus,28|64,APPROVAL
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| 114 |
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113,Tirzepatide 22 percent average weight loss SURMOUNT-4,44|40,TRIAL
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| 115 |
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114,GLP-1 neurological mechanisms,2|4|10,NEURO
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| 116 |
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115,GLP-1 receptor expression in brain regions,114|4,NEURO
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| 117 |
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116,Reward pathway modulation by GLP-1,115|77,NEURO
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| 118 |
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117,GLP-1 signal in alcohol and substance use disorder,77|116,NEURO
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| 119 |
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118,GLP-1 signal in compulsive behavior reduction,116|65,NEURO
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| 120 |
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119,EVOKE trial (semaglutide in early Alzheimer disease),28|114,NEURO
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| 121 |
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120,Neuroinflammation and obesity,114|65,NEURO
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| 122 |
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121,GLP-1 neuroprotective hypothesis,114|120|119,NEURO
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| 123 |
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122,Muscle mass monitoring during GLP-1 therapy,62|53|83,MGMT
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| 124 |
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123,Protein intake recommendation during GLP-1 therapy,62|122,MGMT
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| 125 |
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124,Resistance training with GLP-1 therapy,83|122,MGMT
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| 126 |
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125,Individualized dose maintenance strategy,33|86,MGMT
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| 127 |
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126,Shared decision making obesity treatment,26|78|82,MGMT
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| 128 |
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127,Supply shortage and formulary access issues,89|99,ACCESS
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| 129 |
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128,Compounded semaglutide controversy,99|89,ACCESS
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| 130 |
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129,Prior authorization burden GLP-1,89|21,ACCESS
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130,Employer coverage expansion GLP-1,89|88,ACCESS
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