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Common step therapy requirements on Cigna plans include: Documented lifestyle modification Evidence of participation in a structured diet and exercise program for a defined period, typically 3 to 6 months Trial of a lower-cost medication Some Cigna plans require you to try another FDA-approved weight loss medication (such as phentermine, orlistat, or naltrexone-bupropion) before Wegovy is authorized Behavioral counseling Documentation of participation in a behavioral health or nutrition counseling program How to meet step therapy requirements If your Cigna plan has step therapy requirements, your clinician can help you meet them efficiently

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For someone already close to frailty thresholds, a 1 to 2 kg hit to lean mass can dramatically reduce chair-stand time and raise the fall risk, which is why the quality of weight loss becomes extremely important in these patients