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Successful appeals require: A Letter of Medical Necessity from the prescribing provider that specifically addresses why tirzepatide is medically necessary for this patient, why alternative treatments are inadequate, and how the patient meets the payer clinical criteria

Im afraid of any long term damage to my heart and lungs and who knows what else

Always consult a licensed veterinarian before starting any new treatment for your dog.

Additional testing may include checking for intrinsic factor antibodies and parietal cell antibodies, which can help confirm an autoimmune cause

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