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What matters more than meal proximity is maintaining consistent injection intervals and being aware that peak appetite suppression arrives 24 to 48 hours post-injection

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I find it discouraging that OptumRX wont cover GLP-1 meds unless the patients have diabetes or cardiac disease

The SELECT trial showed that semaglutide reduced major adverse cardiovascular events (heart attack, stroke, cardiovascular death) in adults with obesity and established cardiovascular disease, without requiring a diabetes diagnosis. The FLOW trial showed kidney benefits with semaglutide use in patients with type 2 diabetes and chronic kidney disease. Improvements in hard clinical outcomes like cardiac events, kidney disease, and death are commonly observed with GLP-1 use, and are due to both the direct effects of treating the obesity, and indirect effects of the medications themselves