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I would even argue that the market we live in now is, is a pharmaceutical insurance cartel

Layer in automated text/email reminders 48 and 24 hours before appointments, allow easy rescheduling, charge visit fees upfront (creates financial accountability), and foster engagement between visits through apps or coaching check-ins

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increasing the dose of a drug may, in some cases, be capable of achieving increased efficacy, increasing the dose of a drug also carries a risk of greater side effects