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Medication Active Compound Monthly Cost (No Insurance) With Cash-Pay Programs Ozempic Semaglutide $935$1,100 $199$499/mo Wegovy Semaglutide $1,350$1,639 $199$349/mo Mounjaro Tirzepatide $1,000$1,200 ~$1,000/mo Zepbound Tirzepatide $1,060$1,200 $349/mo (self-pay) Rybelsus Semaglutide (oral) $935$1,000 Varies The cash-pay programs from Novo Nordisk (Ozempic/Wegovy) and Eli Lilly (Zepbound) have changed the landscape

Significant pain suggests the needle may be reaching muscle tissue or hitting a nerve

Severe Curves Exceeding 40-45 Degrees Curves above 45 degrees typically require surgical evaluation rather than bracing

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Perrini S, Giorgino F