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Emerging Districts: Ann Arbor Detroit Burlington Ithaca is one of the newer members and the smallest we signed on in June TCCPI is at the center of this initiative -- this didnt just happen, its been a long collaborative effort NYSERDA grant supporting the Ithaca project 14 buildings currently in the Ithaca 2030 District Summits bring together District leaders to discuss best practices and share experiences Fourth (inter)national summit others were in Pittsburgh, Seattle and Cleveland This year focused on strengthening the network, not just individual districts Goals of network: Support peer exchange across Districts Store and share data Use purchasing power of network to secure reduced costs Create national partnerships with USGBC, EcoDistricts, etc

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However, there is still a significant difference between the WL that can be achieved with bariatric surgery and the currently approved obesity pharmacotherapies and there is heterogeneity in treatment responses with GLP-1 RA (for example people with T2D may achieve less WL compared to those without diabetes in clinical trials, despite similar lifestyle interventions) [13, 14]