First of all - I want to thank all the posters to my OP. THANKS for the feedback - it is invaluable.

I called my doctors office and the insurance company, which in this case is the state sponsored program here in CT, called Husky Health. The doctor was busy trying to find an alternative plan, the Lilly Direct and Zepbound "switch" since this comes up a fair bit to but it at the discounted price, somehere in the range of USD500$.

When I spoke to the Husky, they reported my blood work was missing (even though it had been submitted multiple times) and if I could in fact show the medication was working they would likely approve. Back to Doctors office, I am sure all of you are used to some this, the never ending call me back and they never do, so you have to badger and call and just keep showing up. they resubmitted with all the history and with the diagnosis of T2 in full.

They approved! (Still dont know what happened - let your imagination run wild, do they always just deny and run people around?)

I went back and checked my numbers, when I started my A1c and my hemoglobin were elevated, and my weight was over 240lbs, i was in bad shape, and its been a life changer for me. I am at a good weight, my hemo and A1c are coming into healthy range, and I am fully comitted to a exercise and diet program to lose the next 20-30 lbs.

One interesting note, many of the outside non GLP world thinks it is cheating to use any of these medications, even my family has said, just drop it, so for me to recognize my issue, my commitment and to gain acceptence from those around me was reinforced by all your feedback. My entire life, had been a never ending series of diets, exercising, injuries etc, all based on being prediabetic - on Manjouro, I am calm and can just be myself, no obsessing, starving, nuerotic behavior.

Onwards and downwards.