If passed, TROA would: Permanently allow Medicare Part D to cover FDA-approved anti-obesity medications Expand Medicare Part B coverage of intensive behavioral therapy for obesity to include a wider range of providers (not just primary care physicians) However, in April 2025, CMS announced it would not include Medicare Part D coverage of obesity drugs in its rule changes for 2026, stating the proposal was "not appropriate at this time." That decision pushed the issue back to Congress, where the TROA remains under consideration
Drug discrimination procedures are well-established in both human and preclinical studies for assessing subjective/interoceptive effects (Grant and Bennett 2003

While sulfur burps are typically benign, certain warning signs indicate more serious gastrointestinal complications that require medical evaluation. Contact your healthcare provider immediately if you experience: Severe abdominal pain accompanied by persistent vomiting, which could indicate pancreatitis or bowel obstruction Severe pain that worsens or doesnt improve with dietary adjustments or over-the-counter medications Persistent or severe symptoms lasting beyond 8 weeks despite implementing dietary and lifestyle changes Signs of small intestinal bacterial overgrowth (SIBO), including chronic bloating, severe diarrhea, and malabsorption symptoms Blood in vomit or bowel movements, indicating potential gastrointestinal bleeding Other symptoms like severe stomach pain, fever, or signs of dehydration from persistent vomiting or diarrhea If diarrhea is severe or persistent, it is important to contact a healthcare provider for further evaluation and management

Plain crackers, dry toast, chilled Greek yogurt, protein smoothies, bananas, and broth-based soups are all good options