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Maintenance Dose: When to Hold Steady Not everyone needs to continue going up in dose

Most physicians recommend a minimum of 12 months to complete the full dose escalation period, achieve meaningful weight loss, and begin building the lifestyle habits that support long-term maintenance

interim $50/mo program mid-2026 [8] Expect an Initial DenialThen Appeal Most GLP-1 prior authorizations are denied on the first attempt

"We learned when we were there that the tradeoff was the GLP-1 medicines are not included any longer in the health insurance plans for payment, which brought the average costs down tremendously. The final increase from FY26 to FY27 was ultimately around 7% -- a difference of millions of dollars for Pittsfield taxpayers