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Virginia Medicaid changed criteria, limiting coverage to individuals with a body mass index (BMI) greater than 40 or those with a BMI greater than 37 with weight-related comorbidities (defined as hypertension, type 2 diabetes, or dyslipidemia) effective July 1, 2024

Avoid prolonged fasting periods, particularly if taking concomitant glucose-lowering medications

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This also increases the risk of overdosing