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Common medications in this category include: Semaglutide (Wegovy/Ozempic) Tirzepatide (Zepbound/Mounjaro) Liraglutide Metformin To qualify for same-day issuance, the FAA requires several conditions be met: A current, detailed clinical progress note from your treating physician that meets FAA specifications Hemoglobin A1c testing within the previous 90 days An A1c below diabetic thresholds (6.4% or lower) No significant medication side effects No episodes of hypoglycemia requiring assistance The FAA also requires observation periods before pilots may resume flying duties after starting or adjusting medication dosages