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Nationwide, fertility clinics not housed within hospitals are typically only accredited to perform anesthesia on patients classified by the American Society of Anesthesiologists as having a risk score of I, a normal healthy patient, or II, a patient with mild systemic disease. A patient with a BMI over 40 is considered morbidly obese, which carries a risk score of III, putting them outside of the clinics anesthesia accreditation

Retatrutide is drawing interest because it extends that concept further by adding glucagon receptor activity to GLP-1 and GIP

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