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Insurers typically request BMI documentation, evidence of weight-related medical conditions, lifestyle program participation, and sometimes prior treatment history before approving coverage

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While semaglutide demonstrates cardiovascular benefits in patients with established disease (as shown in the SUSTAIN-6 and SELECT trials), the additive tachycardic effect when combined with Adderall may be clinically significant in susceptible individuals, particularly those with pre-existing hypertension, arrhythmias, or structural heart disease

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