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While obesity is a primary driver of osteoarthritis and the need for joint arthroplasty, it also contributes to increased perioperative morbidity, higher infection rates, longer hospital stays, and worse long-term functional outcomes

Some people stay at 4mg or 8mg for 6-8 weeks before moving up

doi: 10.1002/jnr.22565 35 McCleanPLParthsarathyVFaivreEHlscherC

doi: 10.1056/NEJMoa2307563 110 MarsoSPDanielsGHBrown-FrandsenKKristensenPMannJFENauckMAet al

Additionally, there is no data addressing outcomes in patients who do not need weight loss but are using GLP-1 agonists solely to improve metabolic health

Without guardrails, employers risk paying top dollar for short-term results