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Some health plans cover certain medications under specific circumstances, so its best to double-check with your insurance company to be aware of what your out-of-pocket costs will be
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As per FDA approval in 2021, it's indicated for chronic weight management in adults with obesity or overweight with at least one weight-related condition such as high blood pressure, type 2 diabetes mellitus or high cholesterol (hyperlipidemia)

Im always spiking my heart rate up and down

Jama, 324(1), 79-89