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Higher weight can add another layer of risk

In: National Health Statistics Reports

systematic review of 13 studies encompassing 84,065 patients demonstrated significantly higher retained gastric contents rates (odds ratio 5.56, 95% confidence interval 3.359.23) but found no significant difference in actual aspiration rates (odds ratio 1.75, 95% confidence interval 0.644.77) [37]

This means your healthcare provider will need to submit paperwork to Aetna showing that you meet specific coverage criteria for Zepbound
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Winkelman JW et al

Each category has its own formulary, its own coverage rules, and its own prior authorization requirements for GLP-1 fat loss treatment
