Documentation must include clinical notes showing failed first-line interventions such as diet, exercise and metformin or other agents, and carriers scrutinize prior authorization requests for completeness
doi: 10.1016/j.plaphy.2011.10.020 40 KirlyZ.BarnaB.KecsksA.FodorJ
The big elephant in the room is the medications are too expensive. The GLP-1 market has ballooned in recent years, as drugmakers race to find new variants and thereby seize a piece of a lucrative industry
Limited preclinical and clinical data suggest that GLP-1 receptor agonists might modestly influence cortisol metabolism or HPA axis function in certain contexts, but findings have been inconsistent and not practice-changing
Should there be a black box warning
If dry mouth is severe, or lifestyle changes and medications are not effective, talk to your healthcare provider about trying a different medication or investigating other underlying medical causes of dry mouth