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If injection site reactions are problematic, providers can work with patients to optimize technique or explore alternative therapeutic options while maintaining treatment continuity

If you have NASH without diabetes or obesity, approval requires submitting a prior authorization with: Biopsy or imaging confirmation of NASH with fibrosis stage F2 or higher Documentation of failed standard treatments (vitamin E, pioglitazone, lifestyle modification for at least 6 months) Peer-reviewed evidence supporting GLP-1 use in NASH A letter of medical necessity from a hepatologist or gastroenterologist Approval rate: 15-25% on first submission, 30-40% after appeal with additional specialist documentation

Step 4: If you have obesity plus another condition, lead with the comorbidity

Essential Functional Medicine Supplements: What Supplements You Should Take What supplements do functional medicine doctors recommend