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Under the Contract Year 2026 MA and Part D proposed rule (PDF), CMS is choosing to follow conventional medical thinking that obesity is a disease

This dual effect helps regulate blood glucose levels without causing significant hypoglycemia, as the insulin response diminishes when blood sugar normalizes

The portions can be small

This means the appetite suppression does not continue to increase proportionally with dose beyond a certain point

But sharing introduces contamination risk from additional needle punctures, liability and legal issues, and dosing complications

Starting Weight Individuals with higher starting weights may experience larger early changes