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We have documented that coverage policies vary by payer: private employer-sponsored plans are rapidly evolving (with 43% of large firms now covering GLP-1 weight drugs ( [6] )), Medicare is transitioning from outright exclusion to the BALANCE Model framework for coverage starting mid-2026 ( [5] ), and Medicaid coverage differs state by state with only 13 programs covering obesity indications as of early 2026 ( [3] ) ( [33] )

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The first week on semaglutide guide gives a clear picture of what the initial semaglutide period involves before adding dietary complexity