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Most plans now require a 6 month documented history of lifestyle intervention before approving a prior authorization

For moderate to severe RLS that significantly impacts quality of life, UK guidelines suggest dopamine agonists (such as pramipexole, ropinirole, or rotigotine) or gabapentinoids (gabapentin or pregabalin) may be considered as first-line pharmacological treatments under specialist guidance

Semaglutide improves glucose control, which may lessen after stopping, especially without diet control.

Providers closely monitor developments, customizing dosages as required to ensure steady and sustainable weight reduction