🎉 MILESTONE: Prior auth denied for the 3rd!

I can not believe I am typing this. When I started this journey I had zero hope.

Numbers: BMI went from 38 to 25.

Thank you to this community for keeping me sane through the hard parts. You know who you are. 🙏

Good question. For Prior auth denied for the 3rd time, here is what the evidence says:

• The clinical trial data (SELECT program) supports this approach
• Real-world results from this community generally confirm the trial findings
• Individual variation is real — give it at least 8 weeks before judging

Happy to go deeper on any of these points if helpful.

Dr.AddMedPHL said:

For Prior auth denied for the 3rd time, here is what the evidence says:The clinical trial data (SELE

Completely agree with Dr.AddMedPHL. I would add that Prior auth denied for the 3rd also has implications for body composition that sometimes get overlooked in these discussions.

In my case, following a similar approach led to fewer side effects compared to what I was doing before.

Agreed. My doctor said the same thing about Prior auth denied.

As a healthcare provider, I want to add some clinical context to this discussion on Prior auth denied for the 3rd time -.

Building on what SaraMom3 said — the evidence base here is well-established. The key publications to reference are from the SUSTAIN program[1].

Key clinical points:

1. Efficacy is dose-dependent and typically requires 4-5 weeks to reach steady state
2. Side effect profile is predictable and usually manageable with standard protocols
3. Monitoring should include baseline labs and follow-up at 3-month intervals
4. Patient education significantly improves outcomes and adherence

Standard disclaimer: this is educational, not individualized medical advice.