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Follow-up extended 6 to 12 months with sustained benefits reported

Cigna, Blue Cross Blue Shield, Medicare, Medicaid, and others may vary in coverage, but often recognize semaglutide's medical necessity

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Minimum Targets: Work with a nutritionist to establish appropriate calorie minimums that allow weight loss while maintaining adequate nutrition

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Hydration matters more than people expect on a GLP-1, partly because reduced intake means less fluid from food, and partly because the fiber and magnesium here work better with adequate water aim for sipping consistently through the day rather than large amounts at once, since a very full stomach can itself trigger nausea.