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The treatment did not fail, but the California Medicaid (Medi-Cal) coverage for obesity medications for individuals whose primary diagnosis is chronic obesity abruptly ended January 1, 2026

A 10mg dose requires 0.59mL

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And unlike a gym membership, there is no PMPM overhead, prior authorization process, or pissed off employees eating up HR time and budget

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Conversely, NO has a potential cytoprotective mechanism whereby endothelial cells and neutrophils release NO to increase platelet cGMP levels, decrease intracellular free Ca 2+ concentration, and inhibit platelet aggregation and adhesion