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Other pathways may work better for women who have complex medical histories that would benefit from in-person, hands-on evaluation rather than telehealth assessment, who value face-to-face relationships with their healthcare providers and prefer that dynamic, who have insurance that covers GLP-1 medications and want to maximize that coverage rather than paying out of pocket, who are only comfortable with FDA-approved branded medications and do not want to consider compounded options, or who prefer not to commit to upfront multi-month payments