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CVS/MedImpact, regional Blues’ PBMs) have analogous policies: standard BMI thresholds, diet/exercise verification, and often a requirement to try older weight-loss drugs (like phentermine or orlistat) before GLP-1 coverage
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reuteri in high-fructose diet restored the lowered GLP-1 levels systematically 56,57 , which is contradictory to our microbiome analysis
