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What follows is a structured read of what Cigna actually approves, what it denies, and where employer carve-outs sit

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Patients looking for more rapid initial weight loss may benefit from short-term use of phentermine, though it should only be used under close supervision

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GLP-1 medications slow down gastric emptying, leading to fermentation of food in the stomach and the production of hydrogen sulfide gas, which can result in sulfur burps

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Unlike earlier compounds that focus on a single receptor, Retatrutide interacts with GLP-1, GIP, and glucagon receptors simultaneously

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What remains unclear is whether patients taking GLP-1 RAs have an increased risk of aspiration

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Data analysis All data were analysed in Prism 6.0c (GraphPad Software Inc., San Diego, CA)

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