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PROVIDER ALERT! Major announcement from Blue Cross Blue Shield of Michigan regarding Weight Loss Medication Coverage with Zepbound, Saxenda, and Wegovy. Coverage for weight loss medication is being discontinued. It's expected that this new development might have a domino effect on Healthcare Coverage for Obesity Management and Weight Loss. 00:00 Introduction 00:54 Pending Insurance Changes For Those Taking GLP Medications 01:30 Letter Sent Out By BC/BS Michigan for Participants Taking GLP-1 Medications 02:15 Fully Insured Commercial Members Impacted 03:33 Prior Authorizations May Be Impacted 04:58 New Prior Authorizations May Be Required 06:40 Authorization Window of Time Limited 06:55 Criteria For New Prior Authorization All current authorizations for these medications for fully insured large group commercial members under BC/BS Michigan will expire July 31, 2024, and the following new criteria will apply: The member must be 18 years or older and have a body mass index of 35 or higher. The medication must be prescribed by a health care provider who has an established relationship with the member and has seen the member in person. The prescriber must document the member’s current baseline weight (within 30 days). The prescriber must document the member’s active participation in a lifestyle modification program (working with a coach, tracking food and exercising) for a minimum of six months before the prior authorization request. The prescriber will no longer be able to simply attest to a member’s participation. Without this documentation, the request will be denied. The member must enroll and participate in the Teladoc® Health program for weight management. This program, at no cost to eligible members, offers easy-to-use tools and support. The prescriber must submit documentation of the member’s active participation, or the request will be denied. Zepbound Journey With Ang - https://www.youtube.com/watch?v=bWd03mL89j8 Schweb Network Blue Cross Blue Shield Drops Coverage of GLP-1 Obesity Drugs Video: https://www.youtube.com/watch?v=hvpVqNFxiIU&t=0s From Blue Cross Blue Shield (Read here): https://www.bcbsm.com/content/dam/microsites/corpcomm/provider/the_record/2024/jul/Record_0724h.html Real World Trends from Blue Cross Blue Shield: https://www.bcbs.com/sites/default/files/BHI_Issue_Brief_GLP1_Trends.pdf Online Weight Loss Doctor: Plush Care https://plushcare.com/?utm_source=google&utm_medium=cpc&utm_campaign=LS_PlushCare&utm_adgroup=PlushCare&gad_source=1&gclid=Cj0KCQjw3ZayBhDRARIsAPWzx8oD9DxM94QO_clVM7JJ0p67mWwvZ4OBpVdsUrlI5TFkorCuK1lTDAUaAn1WEALw_wcB Please subscribe and join me as I take you with me on my weight loss adventure after being off of Mounjaro for one year and now beginning another phase of my journey with Wegovy. While also implementing lifestyle changes. A little bit about me I am 60 years old and I was diagnosed as a pre-diabetic September 2022. I’ve been on a journey to see if I could reverse my insulin resistance; lower my A1c; and increase my insulin sensitivity. I am excited to share with you my journey. IG: @lifestyle_for_living Continuous Glucose Monitor www.signoshealth.com --------------------------------------------------------------------------------------------------------------------------------------------------- WEIGHT LOSS OVER 50 WOMEN OVER 50 WEIGHT LOSS TIRZEPATIDE WEIGHT LOSS GLP-1 MEDICATION JOURNEY ZEPBOUND WEIGHT LOSS WEIGHT LOSS MOTIVATION OVER 50 HEALTHY LIFESTYLE OVER 50 SELF-CARE DURING WEIGHT LOSS MATURE WOMEN WEIGHT LOSS WEIGHT LOSS TIPS FOR WOMEN GLP-1 WEIGHT LOSS JOURNEY TIRZEPATIDE FOR WOMEN MATURE WOMEN FITNESS OVER 50 HEALTH TIPS WOMEN’S HEALTH OVER 50 SUSTAINABLE WEIGHT LOSS HOLISTIC WEIGHT LOSS OVER 50 ANTI-AGING AND WEIGHT LOSS HEALTHY HABITS FOR MATURE WOMEN GLP-1 WEIGHT LOSS TIPS #wegovy #wegovyjourney #glp1 #glp #insulinresistance #semaglutide #semaglutideweightloss #saxenda #zepbound

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To Watch Professor Lustig’s full video, please click here: https://youtu.be/VBnE3KYWqSc Professor Lustig a pediatric endocrinologist and expert on the metabolic impacts of sugar, discussed the profound effects of fructose and other environmental factors on obesity. He emphasized that a gram of fructose causes more weight gain and fat deposition than a gram of any other substance, including fat itself. Dr. Lustig presented two prevailing models of obesity: the energy balance model and the carbohydrate-insulin model. He argued that neither fully explains the obesity epidemic, especially given the increase in obesity among infants who do not diet or exercise. Dr. Lustig introduced the concept of obesogens. A group of chemicals that disrupt endocrine function and promote fat storage. He highlighted the significant impact of these chemicals, particularly on mitochondrial function, and how they contribute to obesity. He presented the "Redux model," suggesting that reactive oxygen species (ROS) generated by these obesogens and certain foods like fructose lead to increased fat storage and infact Fructose is natural obesogen. He stressed the importance of addressing fructose consumption, which can be controlled by eliminating high fructose content from processed foods. Dr. Lustig's presentation underscored the complexity of obesity, influenced by diet, environmental chemicals, and genetic factors, and called for a comprehensive approach to prevention, starting with reducing sugar intake. Be sure to check Emery’s other videos relating to health on this YouTube channel: https://www.youtube.com/playlist?list=PLlTSLi3qD78edU0aWyV8x9yLMIS-FC2fv PLEASE Don't forget to subscribe! IMPORTANT KEYWORDS IN THIS PRESENTATION: Fructose - Mentioned as causing more weight gain and fat deposition compared to other nutrients. Obesity - The central topic, discussed extensively in terms of causes, models, and prevention. Metabolic - Related to metabolic impacts, metabolic syndrome, and metabolic diseases. Sugar - Focused on its effects on health, particularly in processed foods. Diet - The role of diet in health and obesity, including dietary models and recommendations. Insulin - Discussed in the context of the carbohydrate-insulin model of obesity. Oxidative Stress - Related to reactive oxygen species (ROS) and their role in metabolism and obesity. Mitochondria - Highlighted as a crucial aspect of energy metabolism and a target of obesogens. Obesogens - Chemicals that contribute to obesity, discussed in terms of environmental exposure. Nutrition - Broad discussions on nutritional factors influencing health and disease, especially related to obesity and metabolism. #ObesityEpidemic #ChildhoodObesity #MetabolicHealth #SugarReduction #FructoseImpact #HealthEducation #DietMatters #PublicHealth #EnvironmentalObesogens #EndocrineDisruptors #SugarAddiction #HealthyLiving #PreventativeHealth #metabolicdisorders #NutritionScience #MitochondrialFunction About Emery Pharma: Emery Pharma is deeply committed to advancing public health and exclusively focuses on projects that enhance the well-being of both individuals and the environment. As a comprehensive contract research laboratory, Emery Pharma provides extensive support across the entire spectrum of pharmaceutical development, covering small molecule drugs, biologics, biosimilars, gene therapy, botanicals, and more. Emery Pharma's array of premium services includes analytical and bioanalytical solutions, microbiology and cell biology services, drug and impurity characterization, and comprehensive R&D with cGMP/GLP support. The Emery Pharma team excels in customizing innovative solutions tailored to the unique requirements of each client. They seamlessly oversee the entire process, from initial drug discovery to thorough data analysis and insights generation. Their expertise allows them to tackle scientific challenges proactively, ensuring clients avoid unnecessary setbacks. Emery Pharma's accomplished chemists and biologists harness state-of-the-art technology, encompassing cutting-edge tools such as high-resolution mass spectrometry (Orbitrap), triple quad LC-MS/MS, GC-MS, preparative HPLC, and 400 MHz multinuclear NMR. For further details, please don't hesitate to reach out to Emery Pharma at [email protected] or explore their website at: https://emerypharma.com/

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