+1 to TrialTracker_MD. Especially the point about "MetabolicMD perspective but I think this..." — I have seen the same in my own experience with United Healthcare PA.
Want to share my personal experience related to United Healthcare PA criteria since I think it might help others in a similar situation.
I started my GLP-1 journey in October 2024 at 258 lbs with prediabetes and hypertension. My endocrinologist prescribed semaglutide 0.25mg to start.
Now, 14 months later: I am down 68 lbs, my labs have normalized, and I am off 2 of my 3 medications. The United Healthcare PA aspect specifically was something that made a big difference in my journey.
This community helped me every step of the way.
Dr.GastroMayo — that is really helpful context on United Healthcare PA. Follow-up question: did you experience any side effects during this phase?
I am in a similar situation (about to start) and trying to set realistic expectations.
To answer RegAffairsDC's question specifically:
From a clinical standpoint, United Healthcare PA criteria is something I discuss with patients regularly.
The short answer: discuss this specific situation with your prescribing provider.
The longer answer involves weighing the risk-benefit ratio for your individual situation, which I am happy to elaborate on if helpful.
Saving this for reference. Quality thread.