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Semaglutide : A GLP-1 receptor agonist used for type 2 diabetes and weight management (e.g., Ozempic, Wegovy), known for its long half-life and strong efficacy

Probably best to send a thank-you letter instead of getting too close, in my opinion.

Studies suggest that combining caloric restriction with both aerobic and resistance exercise helps preserve lean mass in older adults with obesity

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Ipamorelin benefits: what the evidence supports Ipamorelin's mechanism of action aligns it with several clinically meaningful outcomes: Lean mass preservation: GH-driven protein synthesis and anti-catabolic effects

If a patient meets those criteria, the medication is "medically necessary" according to the contract