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Semaglutide is available now, has been used safely in millions of patients for years, and has cardiovascular outcomes data that retatrutide won't have for years

Ro's onboarding includes an insurance verification step that can add days or weeks, depending on your insurer

Virginia Medicaid changed criteria, limiting coverage to individuals with a body mass index (BMI) greater than 40 or those with a BMI greater than 37 with weight-related comorbidities (defined as hypertension, type 2 diabetes, or dyslipidemia) effective July 1, 2024

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Over a multi-week research protocol , that kind of deviation accumulates