Patients with higher baseline insulin resistance or persistent metabolic dysfunction may benefit from more intensive monitoring and structured intervention during discontinuation
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The policy change, advocates argue, would curb rising obesity rates, reduce health care disparities for the states Hispanic and low-income residents, decrease reliance on compounded or black market weight loss drugs and save on health care spending in the long term
The demographic distribution of those most likely to stop treatment was as follows: patients of color, men, people enrolled in Medicare or Medicaid, those living in areas with very high social needs, heart failure, obesity or other cardiovascular diseases prior to drug initiation, and those experiencing new gastrointestinal adverse effects at follow-up [132]