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For beneficiaries to be eligible under the BALANCE Model, providers must attest that they meet certain clinical criteria, including qualifying for a GLP-1 for a currently covered use (such as type 2 diabetes, cardiovascular disease risk reduction, or sleep apnea) or for use to treat obesity based on similar clinical criteria as applied in the Medicare GLP-1 Bridge (Figure 3)
In the clinical trial, Wegovy reduced subjects weight by an average of 17-18 percent over 68 weeks, improving from Saxenda
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If you're wondering what on earth GLP-1 is, allow us to explain
In one such case report, a 51-year-old male, with a past medical history of diabetes, hypertension, and dyslipidemia, reported to the emergency department for back/abdominal pain, nausea, and vomiting
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