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However, in some cases, underlying factorssuch as receptor resistance, lifestyle misalignment, nutrient gaps, or dosing issuesmay need to be addressed to achieve results again

PMCID: PMC10748240

[cited 2021 Feb 05]

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In some cases, the insurance provider may ask for step therapy, which is proof that youve already tried and not had success with other, lower-cost treatments like lifestyle changes or medications such as metformin

It is not an over-the-counter medication