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Payers typically require: Documentation that you tried the preferred medication first (step therapy) BMI of 30+ or 27+ with a weight-related comorbidity Proof of lifestyle modification (diet and exercise logs, often for 3-6 months) Compounded alternatives: Compounded semaglutide and compounded tirzepatide are available from U.S

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10.1038/sj.bjp.0705397 [DOI] [PMC free article] [PubMed] [Google Scholar] 163.Tschen SI, Dhawan S, Gurlo T, Bhushan A

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