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Eli Lilly praised the ruling, claiming it would eliminate risky, unapproved knockoffs of the drugs

The states are among several considering PBM reform to protect independent pharmacies like this drugstore in Bath, Maine , which is closing after almost 110 years, in part because low reimbursements from PBMs and insurance companies dont cover service costs

If theyre still going to a brick-and-mortar drugstore, he added, its unlikely that theyd switch to mail-order

Even when lab values appear normal on medication, many patients still struggle with: Slowed metabolism Insulin resistance Increased fat storage Chronic inflammation Fatigue that limits physical activity These factors create a perfect storm where calorie restriction backfires, muscle mass declines, and weight loss stalls