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Evidence-based GLP-1 & peptide discussion since 2023
Forumsβ€ΊSemaglutide (Ozempic / Wegovy)β€ΊInsurance denied me AGAIN - I am so frustrated

Insurance denied me AGAIN - I am so frustrated

InsuranceTom Wed, Dec 17, 2025 at 11:39 PM 22 replies 902 viewsPage 1 of 5
InsuranceTom
Senior Member
1,345
7,890
Mar 2024
Connecticut
Dec 18, 2025 at 1:04 AM#1

Okay I need help with this β€” insurance denied me again - i.

I have been dealing with this for weeks and I am getting frustrated. Googling just gives me contradictory information and my doctor does not seem to take it seriously.

Please tell me someone here has been through this and come out the other side. What did you do? What finally worked?

I know there are some really knowledgeable people on this forum so I am hoping someone can point me in the right direction. 😩

32 8lisa_labSD, adam_van, Dr.SurgeonPGH and 29 others
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JessicaH_TX
Senior Member
4,123
13,456
Dec 2023
Houston, TX
Dec 18, 2025 at 1:21 AM#2

InsuranceTom's experience with Insurance denied me AGAIN resonates deeply with mine. I went through almost the identical process β€” starting dose, titration timeline, side effects, everything.

The main difference: I am on a different medication. But the overall trajectory has been remarkably similar. Down 55 lbs in 10 months.

One thing I would add that InsuranceTom did not mention: my sleep quality improved dramatically.

27 19sarah_TO, wendy_avl, jason_paloalto and 24 others
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sophie_paris
Member
212
890
Nov 2024
Paris, FR
Dec 18, 2025 at 1:38 AM#3

Thanks for sharing this, InsuranceTom. A few questions about your Insurance denied me experience:

  1. What dose are you currently on?
  2. How long before you noticed significant changes?
  3. Did your doctor have any specific recommendations about Insurance denie?

I am in a similar boat and trying to learn from others' experiences before my next appointment.

13 19MariaRD, AussieAnna, BethLabQueen and 10 others
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InsuranceTom
Senior Member
1,345
7,890
Mar 2024
Connecticut
Dec 18, 2025 at 1:55 AM#4

OP here β€” wow, did not expect this much response! Thank you all for the thoughtful replies on Insurance denied me AGAIN.

To answer sophie_paris: I started tracking everything in a spreadsheet from day 1.

Quick update: I will post a proper update thread soon. Thanks again for the evidence-based discussion β€” this is exactly why I posted in a science-based community. πŸ™

27 15matt_MKE, Dr.ReproEndo, lucas_SP_BR and 24 others
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FDA_TrackerJim
Senior Member
1,567
7,890
Feb 2024
Rockville, MD
Dec 18, 2025 at 2:12 AM#5

Adding my data to this Insurance denied me AGAIN discussion:

MetricBaselineMonth 5Month 8
Weight278 lbs243 lbs203 lbs
A1C7.2%6.0%5.4%
hsCRP7.04.01.2

Protocol: Semaglutide 1.7mg/wk, resistance training 3x/wk, protein 1.5g/kg/day.

Last edited: Dec 18, 2025 at 5:12 AM
49 20jason_paloalto, Dr.LeslieOBGYN, MikeNYC_runner and 46 others
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