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At the time of publication, only one Aetna plan covers Zepbound for weight loss : Aetna Basic Control with ACSF
Measurable weight loss typically appears within 4-8 weeks as your dose increases and your body adjusts to GLP-1 signaling

The study also explored the prevalence, causes, and consequences of self-medication behavior of weight loss medications, particularly focusing on self-medication, e-commerce drug acquisition, and the influence of social media on drug-taking behavior

Source: Phase 2 trial data (Jastreboff et al., NEJM 2023)

Patients should not seek to obtain this medicine outside of regulated clinical trial settings, as doing so carries significant and unpredictable health risks

And once the damage is done, there is no reversing it
