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NYRx documentation clarifies that these medications are excluded from coverage under state regulation 18 NYCRR 505.3(g)(3), which specifies that agents used for weight loss are not reimbursable under Medicaid
However, the mouth's harsh environmentsaliva, pH changes, and enzymatic breakdowndestroys a large portion of the peptide before it reaches systemic circulation
By comparison, Wegovy produced 20.7% at the 7.2 mg dose and 14.9% at the standard 2.4 mg dose
Patients should be counseled to report concerning symptoms such as neck swelling, difficulty swallowing, persistent hoarseness (potential thyroid issues), or severe abdominal pain, persistent vomiting, or right upper quadrant pain (potential pancreatitis or gallbladder issues)
Also keep in mind that weight-management GLP-1s are most effective when paired with lifestyle changes such as eating healthy foods, exercising, practicing good sleep hygiene, and keeping stress levels low
