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So, what does science say

While some supplements may be more effective than metformin, they can often cost significantly more, so this provides a viable alternative for those that need to be cost sensitive

A representative from Eli Lilly told me that through the Zepbound savings program, eligible commercially insured patients can get Zepbound for as little as $25 a month

Both HSA and FSA accounts cover this treatment, and no insurance or membership fee is required