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In 2026 the picture is more complicated than ever: employer coverage has plateaued and in some cases reversed, Medicare has launched its first-ever weight loss drug program, and several states have eliminated Medicaid coverage

Why it matters: Injecting a contaminated medication can cause local infections (at the injection site), systemic infections (bacteremia, sepsis), or life-threatening conditions

Slower dose escalation may help, but that decision belongs with the prescribing clinician