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Consequently, resistance rates are disproportionately higher among non- albicans Candida species in these vulnerable patient populations

The AASLD recommends considering the use of GLP-1 agonists for patients with MASLD and comorbid obesity or diabetes

PIONEER 1 demonstrated that Rybelsus 14 mg reduced A1C by 1.4% versus placebo over 26 weeks, with body weight reductions of 2.3-2.6 kg

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An appeal is reasonable when: The medication is covered by your plan but the prior authorization was incomplete or incorrect You meet the BMI and medical criteria but the documentation did not reflect that Required comorbidities exist in your record but were not included in the submission You have documented prior weight-loss attempts that were not submitted The denial appears to be based on missing or misclassified information An appeal is unlikely to succeed when: Your plan completely excludes anti-obesity medications (this is an employer benefit decision, not a clinical one) Your BMI does not meet the plans listed criteria (typically 30+, or 27+ with comorbidities) The required lifestyle program period has not been completed Your plan only covers GLP-1s for diabetes or cardiovascular indications, not weight loss If you are not sure whether your denial is appealable, that is exactly the conversation to have at your medical weight loss visit

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