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Understanding these variables helps set realistic expectations and allows for personalised treatment approaches

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At the same time, the availability of Medicares lower negotiated price for certain GLP-1 products under the Medicare Drug Price Negotiation Program (semaglutide beginning in 2027 and dulaglutide beginning in 2028) could mitigate the increase in Medicare spending that could come about from ongoing and expanded use of these medications

Similarly, if GI side effects from the combination are affecting your ability to take your Lexapro consistently, thats worth addressing directly rather than simply skipping doses