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As part of this shift, Blue Cross Blue Shield of Michigan (Medicare) will now require members to start with Liraglutide, followed by step therapy before accessing other GLP-1s such as Ozempic or Wegovy

Strengths Acts via multiple pathways (GLP-1, AMPK, microbiome) Has existing human data showing reductions in fasting glucose, HbA1c, lipids Support receptor expression and islet health Limitations Low absorption and bioavailability Gastrointestinal discomfort is common (diarrhea, cramping)

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Vitamin B5, Pantothenic Acid (as Calcium Pantothenate)

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