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Evidence-based GLP-1 & peptide discussion since 2023
ForumsSemaglutide (Ozempic / Wegovy)Insurance denied me AGAIN - I am so frustrated — 12 month update

Insurance denied me AGAIN - I am so frustrated — 12 month update

NeuroNate Sat, Oct 14, 2023 at 10:43 AM 9 replies 2,226 viewsPage 1 of 2
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NeuroNate
Senior Member
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16,789
Dec 2023
Chicago, IL
Oct 14, 2023 at 12:08 PM#1

My endo and I disagree about insurance denied me again - i and I want a reality check.

They are saying that I do not need to worry about it but everything I have read here suggests otherwise.

I trust this community's collective knowledge but I also do not want to go against medical advice without good reason. What would you do?

38 9jason_paloalto, Dr.LeslieOBGYN, MikeNYC_runner and 35 others
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Dr.MetabolicMD
VIP Member
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Jan 2024
Rochester, MN
Oct 14, 2023 at 12:25 PM#2

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

The main difference: I started 3 months later. But the overall trajectory has been remarkably similar. Down 42 lbs in 7 months.

One thing I would add that NeuroNate did not mention: the mental health improvements were just as significant.

1 0PedsEndoPhilly
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jason_sac26
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Jan 2026
Sacramento, CA
Oct 14, 2023 at 12:42 PM#3

Thanks for sharing this, NeuroNate. 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.

29 21stefan_berlin, Dr.EM_Chicago, pete_RVA and 26 others
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NeuroNate
Senior Member
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Dec 2023
Chicago, IL
Oct 14, 2023 at 12:59 PM#4

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

To answer jason_sac26: I get my labs done through Quest every 3 months.

Quick update: my latest labs came back even better. Thanks again for the evidence-based discussion — this is exactly why I posted in a science-based community. 🙏

4 17kim_atl_prep, sarah_TO, wendy_avl and 1 other
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quinn_sf
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Jun 2024
San Francisco, CA
Oct 14, 2023 at 1:16 PM#5

Relevant to Insurance denied me AGAIN - I — here is my latest bloodwork comparison:

Key improvements: A1C 7.2% → 5.3%, triglycerides 195 → 95 mg/dL, hsCRP 6.0 → 1.3 mg/L. All on tirzepatide for 11 months.

The inflammatory marker drop is what impresses me most. Consistent with the SELECT trial's cardiovascular findings.

13 14Dr.EndoEP, GraceAZ_72, carl_compliance and 10 others
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