The coverage cutoff by Blue Cross Blue Shield of Massachusetts may impact tens of thousands of its members now approved for a class of drugs known as GLP-1s for weight loss, including Ozempic and Wegovy
Tirzepatide: Dual GIP/GLP-1 Receptor Agonism Tirzepatide (LY3298176) is a synthetic 39-amino-acid peptide engineered as a dual agonist of the glucose-dependent insulinotropic polypeptide receptor (GIPR) and the glucagon-like peptide-1 receptor (GLP-1R), with a C20 fatty diacid moiety for albumin binding
Animal studies show that increased growth hormone levels from ipamorelin treatment can produce decreases of approximately 14% in fat mass without dietary modifications
However, the interaction between the carnitine pool and the endocrine system is complex, and more studies are needed to understand the specific mechanisms involved
Retatrutide Titration Retatrutide Titration Schedule: Phase 2 Standard and Slow Protocol The retatrutide titration schedule from the Phase 2 trial escalates from 2mg to 4mg to 8mg to 12mg, every 4 weeks (Jastreboff et al., NEJM 2023)