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However, the benefits of improving obesity, insulin resistance and diabetes risk clearly outweigh the risk of stone formation

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Part of the difficulty with being a physician that treats medical obesity is having to come up with options that we know are not superior to what we want to give and having to give inferior options because the limiting factor is insurance coverage, Shah said

So to say, well there is this medicine available but you have to pay for it out of pocket, it really serves a small percentage of the population." Most Americans "cannot afford $500 or $600 per month," he adds