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The difference lies in manufacturing and distribution: brand versions are mass-produced by Novo Nordisk, while compounded versions are prepared by licensed 503A pharmacies

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As their use becomes increasingly widespread thanks to high-profile drugs like semaglutide (Ozempic, Wegovy) and tirzepatide (Mounjaro, Zepbound), questions about their long-term safety, efficacy and impact on body composition remain at the forefront

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avoid in older adults where possible)

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DeFronzo RA, Ratner RE, Han J, et al

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After the SELECT trial cardiovascular indication for Wegovy (FDA approved March 2024) and the SURMOUNT-OSA approval for Zepbound (December 2024), Aetna added separate coverage pathways for those medical indications, which often bypass the obesity carve-outs

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