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The ecosystem now encompasses pharmaceutical manufacturers (Novo Nordisk, Eli Lilly), compounding pharmacies exploiting regulatory gray areas, telehealth platforms bypassing traditional gatekeepers, medical spas medicalizing wellness, established weight-loss companies pivoting their business models, and retailers experimenting with direct distribution

K.ChoudharyG.SehgalR.MedhiB.PrakashA.et al (2025)

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Namely, how people in the top 1% of earners live an average of seven years longer than those in the bottom 50%