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The NY Times article, despite its lack of scrutiny into basically anything about the company, does adequately show that MEDVi was an independent, revenue-generating operation at a huge scale: $1.8 billion, with real staff (albeit two people)

Erectile function in men with type 2 diabetes treated with dulaglutide: an exploratory analysis of the REWIND placebo-controlled randomised trial

The spending increase is driven primarily by higher outpatient costs, an increase of $438 in the first year, likely reflecting monitoring visits for dose titration and managing side effects

Provider and patient attitudes vary, but there exists much more reluctance to initiate pharmacotherapy for obesity than for other chronic diseases such as hypertension, type 2 diabetes, or hyperlipidemia

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