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Anthems standard PA criteria for weight-loss GLP-1s in 2026 require a BMI of 30 or higher, or a BMI of 27-29.9 with at least one weight-related comorbidity like hypertension, dyslipidemia, type 2 diabetes, or obstructive sleep apnea
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Step 2: Peer-to-peer review (within 30 days of denial)
In fact, a 2022 trial published in Diabetes, Obesity and Metabolism shows that, on average, people gain back two-thirds of their weight after discontinuing a GLP-1
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