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Conclusion In summary, there is strong evidence from clinical trials for the use of GLP-1 RAs in the management of T2DM in people living with CKD

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This medication helps regulate appetite and food intake by mimicking the effects of GLP-1, a hormone released in the body after eating

Simultaneously, the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) became operational on January 1, 2026, requiring Medicare Advantage, Medicaid, and CHIP plans to streamline PA with shorter decision timelines (72 hours for expedited, 7 days for standard) and begin publicly reporting PA metrics ( [16] )

This collaborative approach ensures infection control and GLP-1 efficacy without unnecessary risk