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Section 1886(d)(4)(C)(i) of the Act states that the Secretary shall adjust the weighting factors at least annually to reflect changes in treatment patterns, technology, and other factors which may change the relative use of hospital resources

[] Incretin-based therapeutics for T2DM GLP- agonists Inecient to patients with severe cell dysfunction or insulin resistance

Figure 1 quantifies this relationship, demonstrating that half-life, not absorption technology, is the dominant determinant of oral feasibility

Given the highly successful results of GLP-1 drugs, you might decide the benefits outweigh the drawbacks, and that you need to keep taking them in spite of the complaints