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ForumsInsurance & AccessUnited Healthcare PA criteria for Wegovy — what worked for you? Page 2

United Healthcare PA criteria for Wegovy — what worked for you?

hannah_MT Tue, Mar 24, 2026 at 6:07 AM 14 replies 821 viewsPage 2 of 3
dan_philly
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Mar 24, 2026 at 3:24 PM#6

The figures, for anyone assembling their own picture. Worth knowing that the injection site changes very little. Abdomen, thigh and upper arm are bioequivalent for semaglutide, so a site change is not a plausible explanation for a bad week.

Last edited: Mar 24, 2026 at 6:24 PM
27 22DadBodDave, AmyNC_wife, SkepticalSean and 24 others
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rick_sfbay
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Jan 2025
San Francisco, CA
Mar 24, 2026 at 7:04 PM#7

A narrower follow-up, since the general answer is now clear:

Whether anyone has held at a sub-maximal dose long term and kept the result, or whether the maintenance data only exists at 2.4mg?

26 21NicoleRaleigh, james_edin, FranDenver and 23 others
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Dr.MetabolicMD
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Mar 24, 2026 at 10:44 PM#8
dan_philly said:
Worth knowing that the injection site changes very little.

Coming at dan_philly’s question from a different direction. Steady state is the thing most people miss. The terminal half-life is about a week, so every dose step takes four to five weeks to fully express itself. Judging a step at day ten is judging the ascent, not the plateau, and it is the single commonest reason people escalate before they needed to.

25 20HealthEcon_DC, PedsEndoPhilly, SleepDoc_PDX and 22 others
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hannah_MT
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Bozeman, MT
Mar 25, 2026 at 2:24 AM#9

OP back with an update, since a thread like this is useless without one.

Update. I did go to 2.4mg in the end, and the honest report is that it bought me less than the step before it and cost me two bad weeks. Worth knowing rather than worth repeating.

Last edited: Mar 25, 2026 at 5:24 AM
24 19PurityPaulOR, MaxMetOK, MounjBrad and 21 others
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LondonLisa
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Mar 25, 2026 at 8:00 PM#10
Dr.MetabolicMD said:
Steady state is the thing most people miss.

Dr.MetabolicMD has the substance of this right. The condition it depends on is worth stating. The mechanism that matters here is not stomach emptying, it is central. GLP-1 receptor agonism in the arcuate nucleus stimulates POMC neurons and suppresses AgRP/NPY signalling, which is why the effect is appetite and food salience rather than physical fullness. Delayed gastric emptying largely tachyphylaxes over the first months; the appetite effect does not.

Last edited: Mar 25, 2026 at 10:00 PM
10 8SallyK_inj, CryptoCarl, MariaRD and 7 others
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