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Its not uncommon for some pharmacy benefits managers to charge companies more for their prescriptions (generic spread), sometimes exceeding the value of the drug

Macros: 420 calories | 32g protein | 36g carbs | 10g fat Smoothie Bowls Berry Protein Smoothie Bowl Ingredients: 1 scoop (30g) vanilla protein powder 1/2 cup frozen mixed berries 1/2 frozen banana 1/2 cup unsweetened almond milk 1 tbsp chia seeds Instructions: Blend all ingredients until thick and smooth

95% CI, 0.78-0.99

Those with pre-existing low blood pressure or diabetes on insulin are at slightly higher risk

The approval details are verified in the following publication

People using insulin or sulfonylureas need extra caution because lower appetite and reduced food intake can change glucose stability