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If side effects continue beyond four to six weeks at a stable dose, or significantly affect nutrition, hydration, or daily functioning, a structured clinical review is recommended
Coverage under BALANCE would follow negotiated access criteria and participation rules
However, this prohibition includes exceptions for legitimate medical compounding that serves individual patient needs
If you take thyroid medication, metformin , blood pressure medications, or other drugs that require consistent absorption timing, your semaglutide provider needs to coordinate with your other prescribers
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