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Medicaid programs in North Carolina, South Carolina, Michigan, New Hampshire, and California have announced plans to eliminate or narrow access to GLP-1 weight-loss treatment in some cases limiting it only to people who are morbidly obese. The reversal reflects tightening budgets, slowing revenue growth, and rising spending demands

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Although Gcgr is expressed at very low levels, the immunocytochemistry suggests that the protein is present in alpha cells (although below the detection level in 66% of the alpha cells)

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