I highly recommend the switch if you have stalled on tirzepatide
Round, Micah J
About one in 10 payers have a cost-plus arrangement or PMPM pricing guarantee, and the primary factors influencing decisions about these alternative pricing models are impact on total net pharmacy cost and member affordability and experience, the report found
Risk factors included very high A1c (mean 9.6%), obesity, immunocompromised state, and illicit drug use (215)
Someone who is anorexic is much more likely to have a heart attack and far more likely to have cholesterol issues because of that condition. A few other situations dont rule you out automatically, but they do call for extra caution and a real conversation: a history of gallbladder disease, diabetic retinopathy (rapid weight loss can temporarily make it worse), and any history of an eating disorder, which warrants screening before treatment starts
Mechanisms linking obesity to insulin resistance and type 2 diabetes
