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For people with diabetes, additional precautions are necessary

doi: 10.1097/MEG.0b013e3282f5728c

Criteria typically include: [2] Age 18+ with obesity No history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (personal or family) Diagnosed severe sleep apnea (excluding central or complex apnea) Sleep study within past 3 years documenting AHI score (apnea-hypopnea index, measuring sleep apnea severity) Currently following a diet and exercise program Tried preferred alternatives or have documented allergies/contraindications If you suspect you have OSA (snoring, daytime fatigue, witnessed breathing pauses), ask your Kaiser PCP for a sleep study referral

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Other Options May Be Preferable For People Who: Want FDA-approved finished products: If having a medication that has been individually reviewed and approved by the FDA as a finished product is important to you, brand-name GLP-1 medications (Ozempic, Wegovy, Zepbound, Mounjaro) may be more appropriate - though availability and cost vary significantly