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Question 2: Are you cash-pay with no GLP-1 coverage, and price is the dominant factor

These drugs are not magic and carry risks - GI issues, gallbladder problems, lean mass loss if protein intake is inadequate, and long-term unknowns require thoughtful prescribing, monitoring, and integration with strength training, proper nutrition, and sleep rather than replacement of these fundamentals

ARA-290 (cibinetide) is the most advanced, with Phase 2 data on diabetic neuropathy (NERVARA trial)

This results in a great deal of easily managed female infertility cases being cured and relatively few male cases being cured before entering a fertility clinic