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Today, addressing hyperinsulinemia is a core component of laminitis recovery
2.5 Bariatric surgery Bariatric surgery is an option in patients unresponsive to lifestyle changes and pharmacotherapy
Purchases through TrumpRx will not go through insurance, but will instead be out-of-pocket purchases, so price advantages and disadvantages will vary depending on insurance coverage (Lupkin, 2025) Pfizer, Eli Lily, AstraZeneca, and Novo Nordisk have already negotiated prices for medications to be made available via the TrumpRx website, and the Trump administration has stated it will continue to expand negotiations with manufacturers (The United States Government, 2025b, 2025c)
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