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When they simply eat a smaller volume of the same foods, their insulin may come down some, but often not enough to open the fat stores efficiently

Diabetes 58: 2148-2161, 2009

[18] also reported that preoperative semaglutide use within 10 days of elective surgery was independently associated with increased residual gastric content, as assessed by gastric ultrasound

10.1016/j.lfs.2019.117152 8

These figures highlight how, even with broader coverage, patient behavior and systemic barriers continue to erode both demand and health outcomes in this rapidly evolving market