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For members with concurrent type 2 diabetes, documentation must show 3 consecutive months of optimal standard of care therapy with all of the following (unless contraindicated or not tolerated): Ozempic or Rybelsus Trulicity Liraglutide (generic Victoza) Mounjaro Documentation of participation in a Health Netapproved weight loss program (e.g., Weight Watchers, Active&Fit) or a prescriber-recommended plan that includes reduced caloric intake, increased physical activity, and lifestyle modification

If someone is going to anyway: lean heavily on ketone esters (K4/Kinetic Pro), structural lipids (phosphatidylcholine, plasmalogens, omega-rich oils), hydration/osmolytes, melatonin, urolithin A, PQQ, CoQ10/idebenone, carnitine, consider telmisartan/5-amino-1MQ, and monitor labs (oxidative stress panels, mitochondrial function kits), plus glucose and symptoms

The FDA does not review these medications for safety or efficacy

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Many effective preventatives are available