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Forumsβ€ΊInsurance & Accessβ€ΊMedicaid GLP-1 coverage β€” 12 month update β€Ί Page 5

Medicaid GLP-1 coverage β€” 12 month update

sarah_TO Mon, Feb 23, 2026 at 7:59 PM 23 replies 1,120 viewsPage 5 of 5
ZaraB_AL
Member
456
1,678
Jan 2025
Alabama
Feb 24, 2026 at 3:04 AM#21

Congrats sarah_TO!! You should be so proud of yourself. πŸŽ‰

Last edited: Feb 24, 2026 at 4:04 AM
39 0JessicaH_TX, KevinCompounds, TirzTom and 36 others
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BiostatsBrad
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456
2,345
Jul 2024
Durham, NC
Feb 24, 2026 at 3:21 AM#22

Reading this thread on Medicaid GLP-1 coverage hits close to home. Dad of 2 checking in β€” I started at 289 lbs and felt like I would tried everything.

15 months on tirz and I am a different person. Not just the 64 lbs lost β€” my energy, my mood, my relationship with food. All transformed.

If you are on the fence about Medicaid GLP-1 β€” take the leap. It was the best health decision I have ever made. ❀️

33 18Dr.BariatricHTX, LindaRN_retired, tommy_boulder and 30 others
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NurseAsh_DET
Member
356
1,567
Sep 2024
Detroit, MI
Feb 24, 2026 at 3:38 AM#23

As a healthcare provider, I want to add some clinical context to this discussion on Medicaid GLP-1 coverage 12 month update.

Building on what ZaraB_AL said β€” the evidence base here is well-established. The key publications to reference are from the STEP program[1].

Key clinical points:

  1. Efficacy is dose-dependent and typically requires 4-5 weeks to reach steady state
  2. Side effect profile is predictable and usually manageable with standard protocols
  3. Monitoring should include baseline labs and follow-up at 3-month intervals
  4. Patient education significantly improves outcomes and adherence

Standard disclaimer: this is educational, not individualized medical advice.

References:
[1] See thread title for relevant study identification.
37 17BrianDallas92, labquiet_amy, emily_PDX and 34 others
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PharmHunterJen
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567
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Jul 2024
Illinois
Feb 24, 2026 at 3:55 AM#24

BiostatsBrad β€” wow. This community is amazing.

6 2Dr.PainCLE, mike_mealprep, NicoleRaleigh and 3 others
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labquiet_amy
Senior Member
1,234
6,789
Mar 2024
Cambridge, MA
Feb 24, 2026 at 4:12 AM#25

Adding my data to this Medicaid GLP-1 coverage discussion:

MetricBaselineMonth 5Month 8
Weight242 lbs247 lbs197 lbs
A1C6.6%6.0%5.4%
hsCRP6.04.00.8

Protocol: Semaglutide 1.7mg/wk, resistance training 3x/wk, protein 1.4g/kg/day.

9 23pete_manc_UK, anna.melb_AU, mark_tokyo and 6 others
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