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For those with no money to spend on expensive medication, just go on a low(er) carb diet.

or the elimination diet that they can best adhere to. Adherence is the biggest issue in diets, not efficacy (whilst adhered to).

Is there good evidence a low carb diet is close to as effective?

I was pretty into the idea of this drug until I saw the patently ridiculous cost. $1,300? Literally no drug that must be taken long term should cost anything close to this price.

Mounjaro (tirzepatide) has also now been approved.

And it works slightly better than semaglutide.