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There are several reasons your doctor might recommend you avoid GLP-1s
Large cardiovascular outcome trials with liraglutide [40], semaglutide [41], and dulaglutide [42] have shown reductions in adverse cardiovascular events and cardiovascular mortality, while the SELECT trial demonstrated a reduction in heart failure with semaglutide [43]
However, it is produced in highly regulated facilities that must follow strict quality standards
Some BCBS insurance plans have reduced or eliminated weight loss drug coverage due to rising costs, although it may still be covered for other indications, such as cardiovascular risk reduction and liver disease (MASH)
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