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In the real world, people who stopped often restarted later, switched to another treatment, or kept seeing their doctor
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CVS/MedImpact, regional Blues PBMs) have analogous policies: standard BMI thresholds, diet/exercise verification, and often a requirement to try older weight-loss drugs (like phentermine or orlistat) before GLP-1 coverage
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So-called GLP-1 patches have gained popularity through social media marketing as a needle-free alternative to prescription weight loss injections
Nat Metab 7(4): 679696
