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Abbreviations DM: Diabetes mellitus HF: Heart failure EF: Ejection fraction HFrEF: Heart failure with reduced ejection fraction HFpEF: Heart failure with preserved ejection fraction HFmrEF: Heart failure with mildly reduced ejection fraction HFnEF: Heart failure with normal ejection fraction SGLT2i: Sodium glucose cotransporter 2 inhibitors GLP-1 RA: Glucagon-like peptide-1 receptor agonists DPP4i: Dipeptidyl peptidase 4 inhibitors LV: Left ventricular ANP: Abnormal natriuretic peptide EAT: Epicardial adipose tissue AGE: Advanced glycation end LVEF: Left ventricular ejection fraction HHF: Heart failure hospitalization CVD: Cardiovascular death NT-proBNP: N-terminal B-type ANP CIMT: Carotid intima-media thickness TNF-: Tumor necrosis factor- AMPK: Adenosine monophosphate kinase NLRP3: NOD-like receptor 3 ROCK: Rho-associated protein kinase PPAR: Peroxisome proliferator activated receptors References Gregory GA, et al

A spokesperson for the department stated in an email to the Guardian that the state had cut some coverage because of an unsustainable rise in costs from GLP-1s

Ethical approval was not required as the study was conducted using de-identified publicly available data

She remembers watching the women in her family attend Weight Watchers meetings and struggle to maintain a healthy weight