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It names patients with significant kidney disease, a personal or family history of medullary thyroid cancer, or active pancreatitis, and says that screening must happen before treatment starts no matter what the price is

The good news: a large study estimated fewer than four emergency department visits per 1,000 patients taking semaglutide

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This decentralization has created a patchwork of policies: some states cover GLP-1s for diabetes only, others for both diabetes and obesity, and a few restrict coverage to specific patient populations or BMI thresholds