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Still, if treating obesity could lead to such big cost offsets, why arent more insurers jumping to cover the new drugs

In summary, while CVS has standardized criteria and offers preferred formulary status to some GLP-1s, its net effect in 2026 is still very restrictive coverage: in practice most patient requests are either barred or deferred

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Repeat the low-fat / low-FODMAP window after every dose increase

Dulaglutide when used as treatment for type 2 diabetes was also shown to improve liver function, especially gamma-glutamyl transpeptidase values over time without significant reductions in ALT or aspartate aminotransferase levels[25]