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The EMA reported that semaglutide users faced more than double the risk of developing NAION compared to patients on other diabetes medications and recommended updating drug labels to reflect this risk

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Private Insurance Coverage is highly variable: Most plans cover for diabetes (Ozempic, Mounjaro) Obesity coverage (Wegovy, Zepbound) is inconsistent Many require BMI 30+ or BMI 27+ with comorbidities Prior authorization almost always required Some plans increased BMI thresholds to 32 or 35 in 2024-2025 Tip: If denied, appeals often succeed with documentation of metabolic dysfunction (elevated fasting glucose, insulin resistance, lipid abnormalities)

Weight loss stories, especially those involving celebrities, can shape how people view themselves and their bodies