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The confounders that were adjusted for included child age and sex, mothers education, locality, wealth quintile, household size, type of cooking fuel, passive smoking indicator, along with cluster effects at PSU level

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The theoretical 3-8% additional weight loss from adding cagrilintide to tirzepatide doesn't justify the significantly amplified side effects, 2-3x higher cost ($1,200-2,400 monthly), lack of physician support for experimental protocols, and unknown long-term safety profile

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