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Many employers for whom retention and recruitment of employees is a major priority are trending toward covering the drug not just for diabetes, but also for sustained weight loss. Andrews points out that many insurance companies are drawing a line at whether GLP-1s are medically necessary or cosmetically desirable

The evidence supports their safety in psychiatric populations

"We see these costs just continue to skyrocket," Brown said

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If an older adult with already diminishing muscle reserves undergoes rapid weight loss, they risk accelerating sarcopenia, leading to a condition known as sarcopenic obesity