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A family history of obesity, type 2 diabetes, cardiovascular disease, or metabolic syndrome can strengthen your case for medical necessity, even if it does not formally change the BMI threshold

This effect seems to be more pronounced in older men

Examples of synthetic GLP-1 are Semaglutide (ozempic, wegovy) which last 1 week, Liraglutide (Victoza, Saxenda) which last 24 hours, Tirzepatide (Mounjaro, Zepbound) which last 1 week and also targets GIP, and finally Exenatide (Byetta, Bydurette) which can last hours to a day

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