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The only real geographic variable is insurance: large-employer plans in the Cleveland Clinic, OSU Wexner, UC Health, and Cincinnati Children's networks have each made independent decisions about GLP-1 weight-loss coverage, and a Cleveland resident on Cleveland Clinic's plan may have different prior-authorization mechanics than a Columbus resident on the OSU plan
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Current evidence does not show a strong direct link, but similar caution applies
& Glenn, J
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