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Employers may also consider setting a higher body mass index (BMI) threshold for coverage eligibility, such as at 35 (class II obesity) or 40 (class III obesity)

This framework reflects the reality that meaningful signal for appetite suppression and metabolic response usually emerges after 3-4 weeks at each dose level

This means that even after you stop tirzepatide upon discovering pregnancy, the drug will remain in your body at decreasing levels for about a month

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Understanding your state's specific appeal timeline and required documentation format before initial submission reduces delays and rejection cycles