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This is partially because advocates want the latest medications available to the Medicare population, but also because they believe private insurers might follow Medicares lead

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The choice between a tirzepatide-based or semaglutide-based blend depends on factors beyond the L-carnitine addition, including which GLP-1 your body responds to better, side effect tolerance, cost, and prescriber preference

Outside of diabetes treatment, Medicare insurance plans dont usually cover it