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The FDA also explains that the drugs could cause weight loss, and that "weight loss offers no benefit to a pregnant patient and may cause fetal harm." The FDA recommends that people discontinue the medications at least two months before they plan to become pregnant

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Supriya Rao, MD, gastroenterologist and managing partner at Integrated Gastroenterology Consultants, estimates that her patients require some type of prior authorization around 50% of the time, and insurance companies require them to try a different drug first, roughly a quarter of the time

But the more medicine behaves like a brand, the more it starts to inherit the same moral hazards as beauty and wellness industries that have long blurred the boundary between health and aspiration

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