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Weight management during the preconception period may improve fertility outcomes and reduce pregnancy complications, but this should be achieved through evidence-based lifestyle interventions rather than pharmacological agents
Covering weight loss medications will be a significant expenditure for payers on the pharmacy benefit but could potentially result in long-term savings. Arguments against coverage aside from the steep cost include the lack of historical data on efficacy and reports of gastrointestinal disturbances such as constipation, diarrhea, nausea, vomiting and severe abdominal pain
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