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The five most at-risk states: West Virginia Awareness Gap Index: 78.8 (24% GLP-1 usage and 77 searches per 100,000 residents) Kentucky Awareness Gap Index: 76.7 (22% GLP-1 usage and 74 searches per 100,000 residents) Oklahoma Awareness Gap Index: 76.4 (20% GLP-1 usage and 69 searches per 100,000 residents) Alaska Awareness Gap Index: 73.3 (17% GLP-1 usage and 64 searches per 100,000 residents) Alabama Awareness Gap Index: 69.6 (19% GLP-1 usage and 72 searches per 100,000 residents) At the other end of the table, the five safest states benefit primarily from lower prescription rates rather than superior awareness fewer people on the drugs means fewer people exposed to the risk