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After a number of years of robust revenue growth right after the pandemic, states are starting to see slowing revenues, increasing spending demands and a lot of fiscal uncertainty due in part to recent federal actions. In April, the Trump administration scrapped a Biden-era proposal that would have required state Medicaid programs to pay for some GLP-1s for obesity treatment

A US official said that the foreign agents bill, which takes aim at civil society groups with funding from abroad, could jeopardise support from Washington for the former Soviet state if we are now regarded as an adversary

Other well-tolerated options include herbal teas, infused water with fresh fruit, low-fat milk, and diluted fruit juice, all of which provide better nutritional value without worsening gastrointestinal side effects

Sodium-glucose co-transporters (SGLT2) inhibitors This class of antidiabetic drugs lowers plasma glucose by inhibiting glucose reabsorption in the renal proximal tubule