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Direct answer: Yes, some insurance plans do cover semaglutide for weight loss now, but coverage is still uneven

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Tiano JP, Mauvais-Jarvis F (2012) Importance of oestrogen receptors to preserve functional -cell mass in diabetes

Patients with known diabetic retinopathy treated with semaglutide and insulin should be monitored closely including periodic eye examinations by an ophthalmologist and treated according to clinical guidelines