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Lifestyle interventions, including exercise and nutritional approaches such as fasting or caloric restriction are often difficult to adopt, leading to low adherence and often weight cycling (loss and gain)
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But in a context where coverage of GLP-1s is not required, (although in a recent column it was proposed that anti-obesity medications should be considered preventive by the US Preventive Services Task Force) an insurer might fear adverse selection if they covered the medications while their competitors did not
