serena williams using glp 1 paid endorsement for a GLP-1 company got a lot of attention but I feel the real issues were not discussed. Whether she had complications of obesity is important. GLP-1s have Serena Williams' GLP-1 Shift: 34

However, these studies excluded individuals with a history of major depression or psychiatric diseases and reported no significant differences in psychiatric outcomes between liraglutide and placebo groups

Medical necessity generally means that a healthcare provider believes treatment is appropriate based on current health status, obesity-related medical conditions, health risks, previous treatment attempts, and potential benefits of treatment

Side effects are a common reason for quitting a GLP-1 early, research suggests

GLP-1s reduce appetite, making it harder to meet nutritional needsmonitoring essential vitamins, minerals, and protein ensures proper fueling

Continue onto the GLP-1 maintenance program with 1-2 injections per month

Because it operates as a primary care platform, that approach fits patients who want mainstream prescribing workflows and continuity of care