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He considered his lymphedema, high blood pressure and prediabetes to be moral failings

While NJ FamilyCare (Medicaid) still places limits on coverage for weight loss medications, many private insurers now cover GLP-1 medications when patients meet specific medical criteria, typically a Body Mass Index (BMI) of 30 or higher or a BMI of 27 or higher with a related condition like hypertension or diabetes

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Even if gastric emptying partially normalizes, these central mechanisms remain active

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The decision to initiate SGLT2i and GLP-1RA concurrently should be individualized or possibly spread apart in time, weighing the potential therapeutic benefits against the risk of rare but severe complication such as euDKA