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Semaglutide remains the right call if you have established cardiovascular disease (SELECT data), chronic kidney disease with T2D, or MASH with an FDA indication today

Blood work timeline Get baseline blood work before starting tirzepatide: complete metabolic panel, HbA1c, fasting insulin, lipid panel, and thyroid function

Why gel packs may not stay fully cold during shipping Gel packs are used to help regulate temperature during transit, but they are not designed to stay frozen indefinitely

Additional sources include: KFF US Health & Human Services Department (HHS) International Foundation of Employee Benefit Plans (IFEBP) Drug manufacturers NovoCare and Lilly Insurance company coverage documentation U.S

Provide detailed information about your diet, exercise, and any lifestyle changes you've implemented