May have some wear or writing/highlighting
During significant caloric restriction, ensuring adequate dietary protein (at minimum 1.2 to 1.6 grams per kilogram of body weight) supports muscle preservation and complements the favorable body composition changes these medications produce
Yet, in everyday practice, only half of the results materialize
Only thing is the single combined vial means you cant adjust the ratio if your protocol needs something other than 5 and 5
The outcomes: Approved on first submission: 34% (286 requests) Denied, then approved on appeal with additional documentation: 29% (244 requests) Denied, appeal denied, patient switched to compounded semaglutide: 31% (260 requests) Denied, patient abandoned treatment: 6% (50 requests) The pattern that emerges: patients who succeed in getting Wegovy covered through Express Scripts are patients whose providers submitted complete documentation on the first attempt
A second opinion should clarify the pain type, the likely pain generator, whether the proposed procedure fits the case, and whether a non-surgical or less invasive option should be tried first
