Perhaps install the laravel debugbar (https://github.com/barryvdh/laravel-debugbar) to find the root cause of your issue. This will show you if it's a database/model issue. You can also check your Network tab in the browser to see if there are additional assets being loaded over the network.
From the code above, this looks okay as long as there aren't hundreds of thousands of users, courses, or followups.
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