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That distinction rewires the system: Primary care becomes the control plane Maintenance eclipses induction as the economic core Payers shift from episodic math to lifetime value Competition moves from discounting to retention Scale becomes structural, not aspirational This is the same inflection statins triggered in the 1990s

Why does the post say this drug class requires prescriber oversight rather than open access

Despite the current dominance of injectables, patient preference for simpler oral formulations is growing, especially as a result of continuous international product launches

It is an objective "no-lie detector" for brain function [2]