diff --git a/domains/health/obesity-driven-heart-failure-mortality-rising-in-young-middle-aged-adults-concentrated-in-populations-with-lowest-glp1-access.md b/domains/health/obesity-driven-heart-failure-mortality-rising-in-young-middle-aged-adults-concentrated-in-populations-with-lowest-glp1-access.md
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+++ b/domains/health/obesity-driven-heart-failure-mortality-rising-in-young-middle-aged-adults-concentrated-in-populations-with-lowest-glp1-access.md
@@ -0,0 +1,11 @@
+```json
+{
+  "action": "flag_duplicate",
+  "candidates": [
+    "glp1-access-inverted-by-cardiovascular-risk-creating-efficacy-translation-barrier.md",
+    "us-heart-failure-mortality-reversed-1999-2023-exceeding-baseline-despite-acute-care-improvements.md",
+    "hypertensive-disease-mortality-doubled-1999-2023-becoming-leading-contributing-cvd-cause.md"
+  ],
+  "reasoning": "The primary issue identified by multiple reviewers is a significant overlap with 'glp1-access-inverted-by-cardiovascular-risk-creating-efficacy-translation-barrier.md' regarding the structural acceleration of health inequality due to GLP-1 access barriers. The claim also directly extends and provides demographic granularity to 'us-heart-failure-mortality-reversed-1999-2023-exceeding-baseline-despite-acute-care-improvements.md' and shares demographic patterns with 'hypertensive-disease-mortality-doubled-1999-2023-becoming-leading-contributing-cvd-cause.md'. The reviewers suggest either narrowing this claim or merging its GLP-1 access angle into the existing claim, indicating a duplication or strong overlap that requires a decision on which claim should be the primary holder of this information."
+}
+```
\ No newline at end of file