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Changing the law to permit or require Medicare Part D plans to cover medications for weight loss would require Congress to act

Animal studies in rodents showed c-cell proliferation at extremely high doses, but no human cases of medullary thyroid carcinoma have been documented in over 10 million patient-years of GLP-1 use

Even so, because of the known side effects, the medication is always started at a low dose and periodically escalated following a fixed schedule, he says

It is not a single event -- it is a gradual transition that can last several years

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The average American takes GLP-1 medications for about six months before discontinuing