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This leaves skin structurally weaker

Zepbound, by contrast, requires extra steps before Aetna will approve it

Common adverse effects include nausea (occurring in approximately 44% of patients initially), vomiting, and diarrhea, which typically diminish over time

However, a major federal initiative could change this in 2027: CMS BALANCE Model: GLP-1 Coverage Expansion On December 23, 2025, CMS announced the BALANCE Model (Better Approaches to Lifestyle and Nutrition for Comprehensive hEalth)a voluntary program that would cover GLP-1s for weight loss through participating Medicare Part D and Medicaid plans

Over time, it can also help reduce fine lines, pigmentation, and rough skin