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It may just be done reflexively and without consideration for the opportunity lost

BMI Standards (Commonly Used Criteria): For weight management purposes, GLP-1 medications are typically considered for individuals with: BMI of 30 or higher (obesity), OR BMI of 27 or higher with at least one weight-related comorbidity (high blood pressure, type 2 diabetes, high cholesterol, sleep apnea, etc.) These are general clinical guidelines used in FDA-approved product labeling and may inform provider decisions

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FDAs 2026 review uses the spelling Epitalon and notes that Epithalon and Ala-Glu-Asp-Gly are used as alternative terms