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GLP-1 adoption is increasingly complementary to fitness: High-income patients appear to be leaning into fitness offerings, especially into high-end gym chains

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Leading companies such as Novo Nordisk, Eli Lilly, and Sanofi have contributed to market growth with innovative products, including once-weekly formulations to improve patient adherence

For study quality assessment (performed by AS & CT), the second version of the Cochrane Risk-of-bias tool for RCTs (RoB2) was used [9]

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