Same day appointments for acute and chronic care

Because of the shortages, the prices of Ozempic have gone up and insurance companies are routinely denying Ozempic prescriptions stating that they cover this only when there is uncontrolled diabetes (HBA1C > 9).

This is not a good news for those who want to use Ozempic to lose weight and reverse prediabetes. 

Even though we work to get prior authorizations, if you specifically book an appointment and request electronic prior authorization by your provider during the visit. (Typically it takes 20 minutes of provider time) we also have the following suggestions for alternatives.

Lifestyle Modifications

1. Dietary Changes: A balanced, calorie-controlled diet focusing on whole foods, lean proteins, vegetables, fruits, and whole grains can aid in weight loss and improve insulin sensitivity.
2. Physical Activity: Regular exercise, including both aerobic and strength-training exercises, can help with weight management and improve blood glucose levels.
3. Behavioral Therapy: Support from a dietitian, psychologist, or weight loss program can be beneficial for sustainable lifestyle changes.

Medications

1. Metformin: Often prescribed for prediabetes, metformin can help with weight loss and improve insulin sensitivity.
2. GLP-1 Receptor Agonists: Other than Ozempic (semaglutide), there are other GLP-1 receptor agonists like liraglutide (Saxenda) that are approved for weight loss.
3. Orlistat (Alli, Xenical): A weight loss medication that works by reducing the absorption of fats from the diet.
4. Phentermine/Topiramate (Qsymia): A combination medication that suppresses appetite and can aid in weight loss.
5. Naltrexone/Bupropion (Contrave): Another combination medication that targets appetite regulation and cravings.

Non-Pharmacological Interventions

1. Bariatric Surgery: In cases of severe obesity and where lifestyle changes and medications have not been effective, bariatric surgery may be an option.
2. Medical Devices: Certain medical devices, like gastric balloons, are minimally invasive options for weight loss.

Monitoring and Follow-up

• Regular monitoring of blood glucose levels and periodic reassessment of the patient's condition and response to interventions can guide ongoing management.