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Shahed started Signature Meds in 2018

Eye 37 , 537542 (2023)

Tesamorelin operates through an entirely different pathway

The PA process requires documentation of a confirmed T2D diagnosis, a recent HbA1c value (most plans require HbA1c 7.0%), evidence that metformin was tried first or is contraindicated, and the prescriber's clinical rationale for choosing a GLP-1 RA over other second-line agents