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The only way to know if a genuine hormonal issue is involved is by testing with a physician

doi: 10.1126/science.aam9949 97 ThananimitSPahumuntoNTeanpaisanR

Eligibility for the Medicare GLP-1 Bridge will also be limited to Medicare beneficiaries who have not filled a prescription under their Part D plan for a GLP-1 in 2026, and who do not have a diagnosis with a condition that is a medically accepted indication for a GLP-1 drug that could be covered under Part D (specified by CMS as type 2 diabetes, obstructive sleep apnea (OSA), and noncirrhotic metabolic dysfunction-associated steatohepatitis (MASH)), even if they otherwise meet the clinical criteria

Hara Y, Waters EM, McEwen BS, Morrison JH