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We created a propensity score, using 120 characteristics, as in primary analysis except for duration of follow up, which reflected now the duration of follow up based on per-protocol analysis

Potential complications include marginal ulcer formation (already a bypass risk) and dumping syndrome exacerbation, both manageable with dosing adjustments

Common gotchas: enrollment fees on top of monthly subscription, mandatory annual prepayment, automatic dose escalation that increases pricing, cancellation fees, and shipping surcharges

That said, there are often macro factors at play

Coverage rules, prior-authorization criteria, and copay amounts change frequently and vary by plan, formulary tier, and effective date always verify current benefits directly with Medica before making any decision

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