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Visceral fat in the abdominal area is not only cosmetically concerning but also metabolically active, producing hormones and inflammatory substances that can further complicate weight management
Yu X, Hao M, Liu Y, Ma X, Lin W, Xu Q, Zhou H, Shao N, Kuang H
[9] To get Wegovy approved, you must meet all of: A 6-month weight-management program first documented behavioral modification, reduced-calorie diet, and increased physical activity with continuing follow-up (this is the real hurdle, not another drug) BMI 30 , or 27 with a weight-related condition (hypertension, type 2 diabetes, or dyslipidemia) Age 18+ (ages 1217 require the injection plus the comprehensive program) No drug step therapy: CVS Caremark's standard Wegovy policy does not require trying and failing another weight-loss drug first (some individual employer plans add it check yours) Wegovy also has separate coverage pathways for cardiovascular risk reduction (established heart disease + BMI 27, if you don't have type 2 diabetes) and MASH liver disease
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If a provider pushes you toward more expensive plans without medical justification, that is a business decision, not a clinical one
