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First, you can look into formulary exception requests, where your doctor argues that you have a unique medical reason for needing a drug that isn't on the formulary

Metabolic and Hormonal Factors Beyond Genetics Insulin resistance creates a metabolic environment where GLP-1 alone struggles to move the weight-loss needle

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Ongoing research is examining the effects of exercise, including resistance training in combination with GLP-1 RA therapy (ClinicalTrials.gov: NCT05786521, NCT04122716)

Consequently, diarrhea can occur with both drugs, although individual responses may vary