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Inside visceral fat, an enzyme called 11-beta-HSD1 converts inactive cortisone into active cortisol locally, creating a pool of fat-derived cortisol on top of whatever the adrenals produce (PMC7827500, Fella Health)

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Participants in the STEP 1 extension study regained about two-thirds of their lost weight within one year

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If multiple employees need GLP-1 coverage, HR may consider adding or improving coverage during the next plan renewal

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