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Bariatric surgery often requires BMI 40 or greater, or BMI 35 or greater with serious obesity-related conditions
There are no over-the-counter alternatives that match the effectiveness of prescription GLP-1 medications
Its driven by product mix improvement (higher share of complex/chronic/specialty products), better pricing discipline, lower R&D intensity for some players, and in many cases, genuine operational efficiencies
PMC 3549296
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