In their quarterly earnings call, the top PBMs all reported a profit increase this last quarter, primarily driven by GLP-1s and biosimilars
62% decrease in skin roughness (NIH)
Or you could get it completely free if its fully covered by your insurance plan
This mechanism enhances glucose-dependent insulin secretion, suppresses inappropriate glucagon release, slows gastric emptying, and promotes satiety through central nervous system pathways
Even when stored correctly, certain changes in appearance or condition indicate that the medication should not be used
Thats not a reason to avoid it, but it is a reason to use it with a vet in the loop, start with conservative dosing, and monitor your dogs response throughout the protocol