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Description
GLP-1 follow-ups are often medication management visits that may include: Reviewing side effects Adjusting dosage Reviewing labs Managing comorbidities Counseling on nutrition and lifestyle Monitoring progress and treatment response Depending on the practice model, visits may be billed using: E/M codes (based on time or medical decision-making) Weight management program fees Membership/DPC models Cash-based follow-up visits Lab review visits Telehealth follow-ups Your EHR should support documentation that clearly shows: Medication management Dose adjustments Lab review Ongoing treatment plan Time spent (if billing based on time) If its not documented, its very hard to justify billing

Durability of Results: Maintenance Studies: Tirzepatide (SURMOUNT-3): Continued treatment: Additional 5.5% weight loss Stopped treatment: Regained 14% of weight Conclusion: Need ongoing treatment Semaglutide (STEP-4): Continued treatment: Maintained loss, continued losing Stopped treatment: Regained most weight Conclusion: Need ongoing treatment Phentermine: FDA-approved for 12 weeks only Weight regain after stopping is universal Not a long-term solution All Weight Loss Medications: Obesity is chronic disease Medications treat symptoms, dont cure Stopping medication weight regain Long-term or indefinite use necessary for sustained results Safety Profile Comparison: Discontinuation Due to Side Effects: Tirzepatide: 6.2% Semaglutide: 6.9% Liraglutide: 9.9% Naltrexone-bupropion: 25% (very high) Orlistat: 15-20% Phentermine-topiramate: 8-10% GLP-1s have excellent tolerability considering their effectiveness

Pratter will be the Judge

Published online June 2, 2026

Medical Conditions: Conditions like eczema, rosacea, and psoriasis can make the skin more sensitive
