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Patients who have been on Wegovy or Zepbound through the program would face three options: Pay out of pocket at retail prices (currently $1,000-$1,300 per month) Discontinue the medication , which research suggests leads to significant weight regain Transition to an alternative covered treatment , such as bariatric surgery or other covered medications The STEP 1 extension study showed that patients who discontinued semaglutide regained approximately two-thirds of their lost weight within one year
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In some cases, as weight decreases and blood sugar improves with tirzepatide, the need for other medications may also change
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The minimum nutrition floor on a GLP-1 isn't a fixed number it depends on your body weight and activity level but these are widely used clinical benchmarks
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