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According to Bloomberg, a spokesperson from the Michigan insurer cited consideration of the drugs effectiveness, safety and cost in reaching this decision, but did not respond to a question about what the safety concerns were. 2 According to the BCBS Michigan provider alert itself, the decision was based on a number of factors, including research indicating weight loss success is significantly higher when medication is used in combination with lifestyle changes such as diet and exercise rather than on its own

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[7] Ipamorelin is a peptide that research studies indicate may function as an agonist for the GH secretagogue receptor