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The 13 states that maintain coverage impose strict restrictions including BMI thresholds over 30, prior authorization requirements, and step therapy mandating patients first try diet, exercise, and cheaper alternatives

Weight loss on GLP-1 medications typically begins within 412 weeks, with most users seeing 515% body weight reduction by 6 months

That is a real risk employers, health plans, and patients need to confront

Losing 15 lbs in 6 weeks is not a healthy rate of weight loss for a company to promote

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In short: GLP-1-compatible keto meals are protein-forward, moderate-fat, ultra-clean, and portion-controlleddesigned to support metabolism, muscle, and long-term adherence, not just ketosis