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This is not a one size fits all scenario and reflecting No decision about me without me (Department of Health, 2012), the same considerations need to be applied in the PwDs decision to potentially not engage with this group GLP-1 RA start and opt for an individual one- to-one GLP-1 RA start instead.

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These findings highlight the central role of formulary and coverage decisions in shaping treatment access and underscore the importance of continued monitoring as the GLP-1 therapeutic landscape evolves