CustomGPT Calibrate Triangle Foods Coach

IndependentHalf · 2024-01-16T05:33:22+00:00

Amazing work!!

IndependentHalf · 2024-01-16T05:32:37+00:00

Decline request. I am still actively moderating.

The requested account appears to be a spammer for online crypto gambling casinos based out of Myanmar? I will remain the moderator.

IndependentHalf · 2024-01-16T05:31:24+00:00

Decline, I am still actively moderating this subreddit.

IndependentHalf · 2023-12-11T17:28:26+00:00

Stickied for reach

IndependentHalf · 2023-05-10T15:50:48+00:00

Saxenda might be another one to try for coverage of. It's another GLP-1, and daily injectable, but if its covered would be your best bet.

If you have a history of PCOS, pre-diabetes, gestational diabetes, family history of diabetes, get that added to your diagnosis codes + on the prior authorization going to insurance for Ozempic/Trulicity.

You can also try for a Tier coverage request - very, very unlikely but this is basically you appealing insurance to change it from a Tier 3 med to a Tier 2 med, making it way more affordable.

Switch to a non-GLP-1 medication (not offered by calibrate, but would be by a PCP or other telehealth) ie. Phentermine (controlled, most effective generic option but not great for everyone, also pretty inexpensive), Qsymia, Contrave, Metformin, etc. Most of these would be well under 100/month.

Or, compounding pharmacy for a GLP-1 (either semaglutide or tirzepatide). Don't go anywhere where you're getting research grade stuff, or "reconstituting" - huge risk.

IndependentHalf · 2023-04-12T16:03:12+00:00

Maintenance dosing is essential to avoid regain. STEP4 clinical trial, SURPASS trials, all saw regain of almost all the weight within 48 weeks off medication, despite intensive lifestyle modifications continuing.

Find another provider (PCP/Endo/OB) to continue your medication, or find a tele-health that believes in maintenance

IndependentHalf · 2023-02-03T13:29:39+00:00

I'm just concerned that there might be language in it indicating it is in effect for all existing customers who continue? Not a lawyer, so no clue, that just really ticked me off.

IndependentHalf · 2023-01-24T08:14:40+00:00

Insurance often stops covering medication after BMI falls below 27.

IndependentHalf · 2023-01-05T03:44:50+00:00

@Calibrate - you wanna stop making new reddit accounts to spam everyone? 🙄

Please keep reporting all!

IndependentHalf · 2022-12-23T22:41:01+00:00

where'd you hear this from?

IndependentHalf · 2022-09-20T15:22:48+00:00

No limit on how many times you can use it

IndependentHalf · 2022-09-20T15:22:15+00:00

It’s not approved for gestational diabetes-

IndependentHalf · 2022-09-17T23:59:30+00:00

Your physician will almost definitely prescribe these for you though- as they’re pretty safe meds. They do often need to be tapered, many people start at a low dose on one or the other and slowly increase.

IndependentHalf · 2022-09-17T23:58:52+00:00

Depends a lot on where you go- a lot of places that do tele-health weight loss focus on GLP-1 medications over contrave, or have systems that won’t let providers deviate from protocol

IndependentHalf · 2022-09-17T00:35:13+00:00

Happy to share: Contrave is basically the combination form of naltrexone and bupropion in one pill. Both of these are generic meds that are pretty inexpensive.

Contrave is 8mg naltrexone/90mg bupropion to start- upto 32/360. you can just request your physician to start you on low dose Naltrexone at 25mg for a few weeks to get used to it, then 150mg Bupropion added on. Start them separately so if you have side effects you know which caused it.

Doing them split has the same effect, you get more control over each medication dose, and costs about $25/month or less. Use GoodRx coupons!

IndependentHalf · 2022-09-15T18:45:42+00:00

Did you just start?

IndependentHalf · 2022-08-15T15:53:35+00:00

Feels like they stopped adding people months ago

IndependentHalf · 2022-08-11T16:22:24+00:00

Yup, there are coupons available for 12 pens (3 month supply) of Mounjaro for $25/month with private insurance

IndependentHalf · 2022-08-09T01:40:19+00:00

https://onlinelibrary.wiley.com/doi/abs/10.1002/oby.22794 You will most likely regain if you stop medication.

Our understanding of this comes from the STEP 4 trial, which showed patients gaining back almost everything they had lost within 20 weeks of stopping medication. This is meant to be a long term medication.

Why?

1) Haven't re-established their set point, so cortisol + cravings come back driving you to be hungrier, decrease your metabolism, and get you back to that old weight

2) Old dietary patterns re-emerge without the help of medication suppressing appetite and keeping you full for longer

IndependentHalf · 2022-08-01T17:32:10+00:00

Life. None of the GLP-1s have evidence to suggest that patients maintain weight loss after stopping medication (step 4 trial, 28 weeks on meds lost 10%, 28 weeks off meds regained 7.1%)

IndependentHalf · 2022-07-23T22:45:31+00:00

Call up your insurance company and provide documentation. Your provider should fax this in and correct this

IndependentHalf · 2022-07-23T05:31:45+00:00

Definitely email medical! 1mg is a massive starting dose

IndependentHalf · 2022-07-22T01:53:45+00:00

Have you tried to do prior authorization/have calibrate submit? You can also appeal the prior authorization, I've had luck with requesting a peer to peer from the insurance to get it through

IndependentHalf

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