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Cigna evaluates coverage based on medical necessity, while Blue Cross Blue Shield varies by regional policy

Additionally, improved insulin sensitivity may affect renal sodium handling and fluid balance

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Nat Rev Neurosci Jun 2014;15(6):367-78

*Eligible patients without diabetes but with a BMI of 30, or 27 with comorbidities, lost an average of 21% of their body weight (-48 lbs) in a 72-week clinical trial evaluating 15 mg of tirzepatide, when combined with a reduced-calorie diet and increased physical activity

If you have strong coping strategies and adequate support systems, formal diagnosis may be less urgent