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ForumsInsurance & AccessUnited Healthcare PA criteria for Wegovy — 12 month update Page 4

United Healthcare PA criteria for Wegovy — 12 month update

VanRx_Mike Sat, Feb 1, 2025 at 4:55 AM 45 replies 2,158 viewsPage 4 of 9
Dr.GutHealth
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Feb 3, 2025 at 5:57 AM#16

Clinical perspective, offered as context rather than as advice. The mechanism and the magnitude are separate questions. Agreeing that something happens says nothing about whether it happens enough to act on.

Last edited: Feb 3, 2025 at 10:57 AM
19 19VanRx_Mike, steve_okc, dave_SLC and 16 others
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dave_SLC
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Feb 3, 2025 at 12:59 PM#17
TirzTom said:
The boring version of this is the one that works, and the boring version is: measure a baseline, change one variable, wait, measure again under the…

Adding the part of the answer the thread has not reached. Most of what circulates confidently in this community traces back to one summary of one study, and the qualifier was dropped somewhere in the third retelling.

Last edited: Feb 3, 2025 at 4:59 PM
18 18NicoleRaleigh, james_edin, FranDenver and 15 others
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DoseLogDan
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Feb 3, 2025 at 8:01 PM#18

Adding the numbers, since they settle part of this. The mechanism that matters here is not stomach emptying, it is central. GLP-1 receptor agonism in the arcuate nucleus stimulates POMC neurons and suppresses AgRP/NPY signalling, which is why the effect is appetite and food salience rather than physical fullness. Delayed gastric emptying largely tachyphylaxes over the first months; the appetite effect does not.

17 17mel_PDX, Dr.AddMedPHL, newstart_MO and 14 others
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lisa_labSD
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Feb 4, 2025 at 3:03 AM#19

One thing that is still open after TirzTom’s answer:

How much of the between-person variation is pharmacokinetic and how much is just adherence measured badly?

16 16lori_vegas, Dr.PulmRoch, maya_sedona and 13 others
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Admin
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Feb 4, 2025 at 10:05 AM#20

Moderator note: the sourcing question belongs in the vendor section and has been split out. Carry on.

Last edited: Feb 4, 2025 at 2:05 PM
44 19PeptideSynthNJ, Dr.KarenChen, Dr.NateNeph and 41 others
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