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The five least at-risk states: Massachusetts Awareness Gap Index: 18.9 (11% GLP-1 usage and 92 searches per 100,000 residents) Rhode Island Awareness Gap Index: 20.7 (7,5% GLP-1 usage and 82 searches per 100,000 residents) Nevada Awareness Gap Index: 20.6 (8% GLP-1 usage and 83.4 searches per 100,000 residents) Virginia Awareness Gap Index: 26,5 (12% GLP-1 usage and 90 searches per 100,000 residents) New York Awareness Gap Index: 25.5 (14% GLP-1 usage and 89 searches per 100,000 residents) The gap between top and bottom is stark: West Virginias awareness gap ratio is nearly five times worse than Hawaiis