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Recovery-first goals: Keep treatment goals focused on overall health, not weight

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FDA-approved prescribing information for semaglutide and tirzepatide both indicate use "as an adjunct to a reduced-calorie diet and increased physical activity." What's been missing is the actuarial proof

However, coverage varies by plan and typically requires prior authorization or step therapy to demonstrate medical necessity

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Reduced fluid intake makes you more likely to get dehydrated, which is a well-known cause of muscle cramps, joint discomfort, and general malaise