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The findings revealed a crucial insight, for some GLP-1 s like Saxenda and Wegovy, the high cost of ongoing use surpasses the cost of RYGB in less than a year and sleeve gastrectomy within nine months [42]

Several real-world studies based on administrative data and pharmacy reports have demonstrated that reduced adherence to antidiabetic therapy is associated not only with poorer glycemic control but also with a significant increase in overall mortality and hospitalizations for all causes [70, 71]

These drugs are typically administered via weekly injection, though some formulations, like semaglutide, are now available in oral form and drug companies are actively working on oral forms for tirzepatide

Diabetes Care 2016;39:15011509 [DOI] [PubMed] [Google Scholar] 66.Buse JB, Rosenstock J, Sesti G, et al