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Even when a patient has a BMI over 30, most plans require either a Type 2 diabetes diagnosis or failure on multiple older weight loss drugs before they'll authorize coverage

While thyroid C-cell tumor risk has not been confirmed in humans, the medication is not recommended for those with a personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)

PMID: 32333875