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This is a federal requirement under the Medicaid Drug Rebate Program states cannot exclude FDA-approved diabetes drugs from their formularies
Ozempic butt occurs because of a few different reasons: Non-discriminatory fat loss : Ozempic causes overall body fat reduction, meaning your body decides where fat is lost first, and this often includes areas like the buttocks

Sources American College of Gastroenterology

Currently, it is not known if tirzepatide passes into breast milk or what effects it might have on a nursing infant
Nat Med 28(1):8995

Semaglutide for Weight Loss in Patients with Obesity. New England Journal of Medicine , vol
