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Recent studies also highlight the role of perivascular adipose tissue (PVAT), which, when becoming dysfunctional and lipid-laden, loses its vasoprotective properties and secretes pro-inflammatory adipokines directly onto the adjacent arterial wall, creating a localized inflammatory milieu that accelerates atherosclerosis (103) (As shown in Figure 4 )

Cigna Plan Types and Potential Coverage Legend: Possible coverage Usually excluded Depends on employer plan design More Details / Next Steps (Based on Plan Type) Large Employer Plans Often the Best Chance Many large companies pay for healthcare themselves (this is called "self-funded")

Recent reports indicate that more than 8,000 Maryland residents may have experienced adverse health effects related to compounded GLP-1 products in 2024

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