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Lifestyle-focused programs: Comprehensive medical weight loss programs that emphasize nutrition, behavioral change, and physical activity remain effective even without pharmacotherapy, and these services may be covered by Medicaid under medical nutrition therapy or behavioral health benefits

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Participants with the highest body mass index (BMI) values (40 or above) were most likely to access semaglutide, which is not surprising given that this group has the highest risk for developing further metabolic diseasebut Podolsky says it reflects a trend that physicians may be restricting GLP-1 drugs to patients with the highest weight, and solely recommending lifestyle interventions to patients with BMI values of 35 or less