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ForumsSemaglutide (Ozempic / Wegovy)Insurance denied me AGAIN - I am so frustrated Page 3

Insurance denied me AGAIN - I am so frustrated

InsuranceTom Wed, Dec 17, 2025 at 11:39 PM 22 replies 902 viewsPage 3 of 5
tampaLisa73
Member
312
1,456
Oct 2024
Tampa, FL
Dec 18, 2025 at 3:54 AM#11

Thank you traveltech_sara! This is incredibly helpful. Bookmarking for later. 🙏

Last edited: Dec 18, 2025 at 4:54 AM
14 19RunnerRach, TrialNerd_Beth, HPLC_Greg and 11 others
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josh_phd_bmore
Member
389
1,678
Jul 2024
Baltimore, MD
Dec 18, 2025 at 4:11 AM#12

Slightly tangential to Insurance denied me AGAIN but InsuranceTom reminded me — has the insurance landscape changed recently?

I know it is not exactly on-topic but it seems related enough to ask here rather than starting a new thread. Apologies if this has been covered — I did search first.

14 10Dr.ObesityLA, NurseKim_ATL, paul_denver and 11 others
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marco_milano
Member
345
1,456
Jul 2024
Milan, IT
Dec 18, 2025 at 4:28 AM#13

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

  1. What dose did you start at?
  2. How long before you noticed side effects improving?
  3. Did your provider have any specific recommendations about Insurance denie?

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

Last edited: Dec 18, 2025 at 8:28 AM
26 18Dr.LipidDallas, alex_tucson, kevin_tulsa and 23 others
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InsuranceTom
Senior Member
1,345
7,890
Mar 2024
Connecticut
Dec 18, 2025 at 4:45 AM#14

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

To answer josh_phd_bmore: my doctor and I discussed the options and went with brand.

Quick update: I have noticed more improvement since posting this. Thanks again for the evidence-based discussion — this is exactly why I posted in a science-based community. 🙏

6 3matt_MKE, Dr.ReproEndo, lucas_SP_BR and 3 others
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hank_denver
Member
278
1,234
Sep 2024
Denver, CO
Dec 18, 2025 at 5:02 AM#15

Adding my data to this Insurance denied me AGAIN discussion:

MetricBaselineMonth 3Month 6
Weight268 lbs238 lbs213 lbs
A1C7.2%5.8%5.2%
hsCRP7.02.01.0

Protocol: Semaglutide 2.4mg/wk, resistance training 3x/wk, protein 1.5g/kg/day.

Last edited: Dec 18, 2025 at 9:02 AM
37 15Dr.DermMIA, fiona_VT, denise_HTX and 34 others
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