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This is a common practice called step therapy. Many Aetna plans will require you to try and fail with older, less expensive medications like Phentermine or Contrave before they will even consider approving a more expensive GLP-1 medication like Wegovy
In the US, the people most likely to carry both diabetes and depression are the ones who can't afford it
Cell 185:881-895 e820 Sumbalova Z, Kucharska J, Rausova Z, Palacka P, Kovalcikova E, Takacsova T, Mojto V, Navas P, Lopez-Lluch G, Gvozdjakova A (2022) Reduced platelet mitochondrial respiration and oxidative phosphorylation in patients with post Covid-19 syndrome are regenerated after SPA rehabilitation and targeted ubiquinol therapy