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As demand for weight-loss drugs rises, states grapple with Medicaid coverage In January, the National Association of Medicaid Directors told the federal Centers for Medicare & Medicaid Services that state Medicaid departments had significant concerns over the fiscal impacts of the Biden proposal to require coverage of GLP-1s, and strongly recommend that CMS maintain the current state option to cover or not cover anti-obesity medications. But others say covering the drugs will yield long-term savings

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For clinicians and patients navigating medication-induced weight gain and treatment-resistant symptoms, this conversation lays out current evidence, open questions, and how to discuss risks and benefits in real-world care

This is one obvious reason why clinicians advise weight optimization in preconception care