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They reduce glucagon and slow gastric emptying

doi: 10.1016/S2213-8587(14)70225-6 240

Some were concurrently receiving insulin or some of the other newer diabetes drugs like SGLT2 inhibitors, so that can certainly confound the degree of weight loss

Medicare statute (Section 1860D-2(e)(2)(A)) prohibits Part D coverage of drugs for weight loss. The 2024 CMS guidance carved out exceptions for FDA-approved medical indications outside of weight loss itself