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From our perspective at Real Peptides, this ruling was a validation of our core principles

Starting both medications simultaneously makes it impossible to identify which medication is causing which side effects, makes dose titration dangerous because you cannot isolate responses, and maximizes the risk of overlapping side effects like nausea

Underdosing or Missed Injections If your dose hasnt been adjusted in monthsor if injections are inconsistentthe medication may no longer be at an optimal therapeutic level

If the medication is covered by your plan, prior authorization is typically required

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But FY 2026