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Yes, many state Medicaid programs cover older, less expensive weight loss medications even when they do not cover GLP-1 shots

This article goes deeper on the pharmacy side

Weight loss stalling or regain despite medication adherence signals the need for protocol evaluation

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Addressing sleep apnea (which weight loss often resolves) creates a positive feedback loop Exercise: Resistance training during GLP-1 therapy preserves muscle mass and improves body composition outcomes even when total weight loss is similar Hormonal factors (women): Perimenopausal hormonal changes affect how women respond to GLP-1 therapy
