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Programs like TrimrX that utilize compounded GLP-1s are designed as a direct-pay, cash-based alternative to the insurance system

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When we limit coverage to just those two buckets, there's a whole population under employer coverage that may not get access when it's actually needed

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For researchers concerned about cardiovascular risk, practical strategies to minimize TMAO production include supporting a healthy gut microbiome through prebiotic and probiotic use, monitoring TMAO levels if testing is available, and keeping total levocarnitine exposure within studied safety ranges