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A bridging plan for glycemic management should be established, which might include basal insulin, correction-dose insulin protocols, or temporary use of other agents

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What a strong submission includes: your baseline BMI before starting any treatment (not your current weight if medication has already helped, since insurers will use a lower number against you), a full accounting of comorbidities, prior weight loss interventions, relevant lab work, and a clear clinical rationale for why Wegovy specifically is the appropriate treatment

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