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According to the American Association of Clinical Endocrinologists the and American College of Endocrinology (AACE/ACE) Obesity Clinical Practice Guidelines, weight loss medications must not be used during pregnancy

Please advise each eligible Medicare Part D or other applicable government insured patient using the self-pay offer that they must not submit the purchase for inclusion in any insurance benefit out-of-pocket spending calculations, such as Medicare Part D True Out-of-Pocket Costs (TrOOP)

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It can be taken with food, although the manufacturer recommends it to be taken with meals to help maintain blood sugar levels