Beyond its direct irritant effects on the esophageal lining, alcohol relaxes the lower esophageal sphincter and impairs the protective clearing reflexes during sleep
For cash-pay patients, the distinction matters less since Novo Nordisk offers both at the same $349/month cash price
This is before taking into account rebates, which Medicares actuaries estimated to be 31.5% overall in 2022 but could be as high as 69% for Ozempic, according to one estimate

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