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Medically guided programs for sleep, muscle growth, metabolic support, energy and inflammation

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However, if your provider sees any evidence of heart disease (youve had a heart attack, a stroke, or you have peripheral vascular disease or congestive heart failure), then a GLP-1 should be started no matter your A1c

Patients with contraindications to GLP-1 agonists may explore older weight-loss medications like phentermine or orlistat, or consider non-pharmacologic approaches like intensive lifestyle modification and bariatric surgery consultation

Furthermore, the long-term financial return on investment (ROI) remains a point of concern for plan sponsors