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This typically means your provider submits: Your BMI and weight history A1C and fasting glucose levels showing prediabetes Documentation of failed lifestyle interventions (prior diet programs, exercise plans) Any additional metabolic risk factors (family history of diabetes, elevated triglycerides, hypertension) A letter of medical necessity explaining why pharmacological intervention is warranted before full diabetes develops Some insurers respond to the preventive argument, especially when the cost of treating type 2 diabetes (which runs $10,000 to $15,000 annually on average) is weighed against the cost of preventing it

Injection site selection plays a crucial rolethe abdomen (at least 2 inches from the navel), thigh, and upper arm are FDA-approved sites for most GLP-1 medications, with comfort levels varying between individuals

Others did not

Many pharmacies couldnt get the medications in stock, translating to patients being unable to obtain their medications and often going weeks without it