The interesting thing that concerns me is that, at least for Medicare, they are adding coverage for GLP-1s to cover for an obesity diagnosis, and the program calls for Intensive Behavioral Therapy but the program indicates that a physician or NP or PA would need to deliver the IBT All this talk about spending millions of dollars educating physicians on nutrition when we all know they dont have time to counsel patients in-office due to the healthcare provider shortage
J Invest Dermatol 100: S35-S41
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Given that many of these conditions (e.g., obstructive sleep apnea, major depressive disorder, heart failure) are highly prevalent in the metabolically complex populations most likely to be prescribed GLP-1 therapy, a substantial share of patients may already be deriving clinical benefit from the drug across multiple conditions simultaneously, whether or not those benefits are recognized or documented at the point of prescribing
The provider may decrease the levothyroxine dose
