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Why does the first month look lower

The perennial issue for all types of payers is money

That could be because GIP may help improve insulin sensitivity more alongside GLP-1, a metabolic edge semaglutide doesnt fully match
Liraglutide and semaglutide are GLP-1 RAs whereas tirzepatide is a combined agonist to both GLP-1 and GIP (glucose-dependent insulinotropic polypeptide) receptors