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If all factors look correct but benefit has flattened, clinicians may extend a dose step, maintain the current level longer, or consider alternative strategies like nutritional or behavioural adjustments

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Peeling the onion is an overused metaphor but its an apt one for healthcares cost drivers, which are increasingly complex and interconnected

Some competitors use lower prepaid monthly equivalents, some charge less for starter doses, and others provide FDA-approved medication with separate membership charges