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IRB approval This study was approved by the Institutional Review Board of AIG Hospitals (IRB No: AIG/IEC-BH&R 27/05.202203, Approval Date: 28th May 2022)

Prescribing vitamin B complex: Need for reassessment

Additional Considerations for Gender-Affirming Individuals For transgender individuals on HRT, family planning may require special considerations

**Who should still consider it:** Patients who prefer daily rather than weekly dosing (a small minority), those who respond poorly to newer agents, or situations where cost and insurance coverage strongly favor Saxenda