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Scenario 1: Metabolic Syndrome Patient on GLP-1 Therapy Consider a 48-year-old male with a BMI of 34, prediabetes (fasting glucose 118 mg/dL, HbA1c 6.1%), dyslipidemia (triglycerides 220 mg/dL, HDL 36 mg/dL), and mild hepatic steatosis on ultrasound