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32 Laird, E.J., et al., Voluntary fortification is ineffective to maintain the vitamin B12 and folate status of older Irish adults: evidence from the Irish Longitudinal Study on Ageing (TILDA)

The benchmark index is the MSCI US IMI Health Care 25/50

They do not rebuild the system required for metabolic resilience, a system that sits at the center of GLP-1 microbiome science and is powered primarily by the gut microbiome, SCFAs, inflammation control, circadian timing, and mucosal structure

Practically: Strong recommendation to pursue: CME in obesity medicine (60+ hours for ABOM certification) Obesity Medicine Board Certification (ABOM) open to all physicians including psychiatrists Specialized training for NPs through organizations like American Association of Nurse Practitioners This training: Solidifies your competency if questioned Helps you navigate complex cases safely Improves patient outcomes (obesity treatment is more than just prescribing) What are the reimbursement rates for weight management visits

The researchers found that the ingredient and manufacturing costs were a tiny fraction of the total price for all the drugs they investigated

Real support.