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Payers hesitation to cover GLP-1s for weight loss is also fueled by employer plan sponsor concerns about up-front costs of the drugs

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Here are some recommendations: Decrease calories and work up to a ~500 kcal daily energy deficit Consider intermittent fasting (IF), including time-restricted eating (TRE) and intermittent calorie restriction (ICR) Eating plans such as the DASH (Dietary Approaches to Stop Hypertension) diet, Therapeutic Lifestyle Changes diet, the Mediterranean Diet, or following the American Heart Association (AHA) 2021 Dietary Guidance to Improve Cardiovascular Health are all worth considering If you need assistance with meal planning or have special dietary needs, it may be helpful to seek guidance from a registered dietitian Include a wide variety of nutrient-dense foods, such as fruits, vegetables, lean meats, low-fat dairy, seafood, nuts, seeds, legumes and whole grains Replace foods that are high in cholesterol, saturated fat (animal fats) and trans fats (fried, processed foods) with foods that are high in monounsaturated and polyunsaturated fats like olive oil, nuts, seeds and avocado Minimize refined carbohydrates, sweets and sugar-sweetened beverages If you cannot eat at least 1,200 calories each day, a multivitamin may be needed to ensure youre meeting your nutritional needs After you reach your weight loss goal, its important to continue a healthy eating pattern to avoid weight regain Q: What happens if I miss more than two doses of my medication

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