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Federal Medicare regulations do provide obesity counseling and even payment for bariatric weight reduction surgery, but for GLP-1 use, Medicare recipients had to have a non-weight loss diagnosis that would benefit from a GLP-1, such as obstructive sleep apnea or Type 2 diabetes

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Ania Jastreboff, an obesity medicine physician scientist at Yale University, told People that the drug "works in the brain and shifts the person's fat mass set point." It has to be taken at a low dose at the beginning, and slowly increased over time