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Pennsylvania, with over 2.2 million prescriptions filled in 2024, ranks 12th most at-risk nationally

Key Takeaways Section 3 The FTCs 1990s divestiture orders addressed manufacturer-PBM co-ownership but left insurer-PBM vertical integration largely unchallenged for two decades

We can prescribe with appropriate BMI (typically 27+ with comorbidities, or 30+ without) after evaluation

Horm Metab Res 36:859866 Finan B, Yang B, Ottaway N et al (2015) A rationally designed monomeric peptide triagonist corrects obesity and diabetes in rodents

This matters because NAD+ is involved in energy production, DNA repair, cell signaling, mitochondrial function and more

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