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Are there safety concerns with unsupervised GLP-1 use if medications became OTC

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Because subtherapeutic dosing sits below the FDA-approved starting dose and lacks randomized trial support, providers will explain the trade-offs honestly: the appeal (slower onset, reduced GI side-effect reports, lower cost) and the limits (no efficacy guarantee, no proven cardiovascular benefit at microdose levels, ongoing safety monitoring still required)

The reason this matters for the fragmentation thesis is that it shifts the scoreboard

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