JAMA: The Journal Of The American Medical Association 2018, 319: 310-310
There are also oversight concerns
Previous research suggests that patient expectations are primarily focused on weight loss, aesthetic improvement, and opportunities for conception, while long-term cardiovascular risks receive relatively less attention (211213)
Four specific conditions qualify for Tier 3 (BMI 27 or higher): (1) prediabetes per American Diabetes Association criteria (typically A1c 5.7 to 6.4 percent, fasting glucose 100 to 125, or 2-hour oral glucose tolerance test 140 to 199), (2) previous heart attack (myocardial infarction), (3) previous stroke, and (4) symptomatic peripheral artery disease
Semaglutide (found in Ozempic and Wegovy) activates only GLP-1 receptors, while tirzepatide (found in Mounjaro and Zepbound) targets both GLP-1 and GIP receptors for a dual-action mechanism