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Common strategies include: Prior authorization requirements to confirm medical necessity Body mass index (BMI) thresholds and comorbidity criteria Step therapy programs requiring lower-cost treatments first Participation in lifestyle or weight-management programs Higher formulary tiers with increased employee cost-sharing Some employers also limit prescribing authority to specific provider types or establish lifetime or annual spending caps where permitted under applicable regulations

How is their energy

Hydration : Stay hydrated before, during, and after exercise

By reducing appetite and calorie intake, they make fat loss more achievable but they can also increase the risk of losing muscle if protein intake and resistance training are not prioritized