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Wegovy remains the preferred GLP-1 for weight loss Prior authorization requirements may become more streamlined Cardiovascular indication strengthens coverage arguments Self-Funded Employer Plans Self-funded employers have flexibility to follow or customize the CVS Caremark formulary

It also gained approval for a certain type of liver disease (MASH) and reduced risks of cardiovascular death, heart attacks, and strokes in adults with obesity or who are overweight with known heart disease

Some patients using advanced metabolic therapies report: forgetting to eat, struggling to hit protein goals, lower energy during workouts, or feeling overly full throughout the day

However, severe vomiting, persistent abdominal pain, signs of dehydration, or symptoms lasting beyond 3 weeks warrant immediate provider evaluation to rule out pancreatitis, gastroparesis, or other serious conditions

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Quarterly monitoring Every three months, assess: weight stability, appetite patterns, side effects, metabolic markers (if tracked), and lifestyle adherence