Kathy Zhou: Absolutely, and I've had a number of individuals who, once you show them that weight loss is possible, because they feel so defeated for so many years, and they are finally losing some weight on these medications, they now are motivated to go to the gym or pick up some resistance training at home, to meal prep and make better choices too deliberately
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Private / Commercial Payers (Aetna, BCBS, Cigna) This is the Wild West and where most pharmacies lose the most money
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While some individuals may tolerate treatment without immediate complications, skipping laboratory testing can result in: Missed contraindications (e.g., thyroid abnormalities, pancreatitis risk) Undetected metabolic conditions (e.g., insulin resistance, liver disease) Poorly tailored dosing and monitoring There are limited scenarios where recent lab data (within 36 months) may suffice, but initiating treatment without any clinical baseline is generally considered incomplete care
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