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If your employer's plan excludes anti-obesity medications entirely (common in self-insured plans), your options are: the cash-pay manufacturer programs described above, asking your HR department whether the exclusion can be reconsidered (especially if your employer is large enough to modify the plan), or using the medication under a different indication (for example, Ozempic for type 2 diabetes, if applicable)
As with vegetarians, vegans can avoid this by consuming a dietary supplement or eating B 12 fortified food such as cereal, plant-based milks, and nutritional yeast as a regular part of their diet
Rabe 2011
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They under-eat protein
