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Skarzynska MB, Krl B, Czajka L (2020) Ototoxicity as a side-effect of drugs: literature review

Direct medication costs (approximate, 2026): Brand-name Wegovy: $1,400 per month ($16,800 per year) Compounded semaglutide: $250 to $400 per month ($3,000 to $4,800 per year) With insurance coverage: $25 to $50 per month ($300 to $600 per year) Indirect costs of regain: Weight regain after discontinuation carries health costs that are harder to quantify but real: Increased risk of type 2 diabetes (if weight returns to pre-treatment level, diabetes risk returns to baseline) Increased cardiovascular risk (weight loss on GLP-1 agonists reduces cardiovascular events

doi: 10.4065/mcp.2009.0534 82

JSTOR 4089339

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Thus, following the example of cancer, drug therapy could precede bariatric surgery in order to render it safer and more feasible, but could also follow if the results are not satisfactory