TI
Member
JoinedMay 16, 2026
Messages10
This community saved my first month on medication. I came here when I was ready to quit at week 3 and people here convinced me to push through. It's now month 5 and I'm down 38 lbs. Thank you all.
FL
Member
JoinedMay 06, 2026
Messages10
Posting my insurance appeal letter since a few people asked. This is what finally worked after three denials:
I had my doctor submit a Letter of Medical Necessity that specifically cited: (1) my BMI over 30 with comorbidities, (2) documented failure of two prior weight-loss interventions over 12 months, (3) relevant metabolic markers including elevated triglycerides and pre-diabetic A1C.
The key addition that got it approved was asking the doctor to cite the specific plan coverage language and argue that denying the medication violated the plan's own obesity-management coverage terms. We also requested a peer-to-peer review call.
Don't give up after one denial. Three denials is unfortunately normal. Each appeal should be more specific than the last.
PH
Member
JoinedJun 06, 2026
Messages10
For the nausea: small meals, no greasy food, ginger tea, and Zofran if your doctor will prescribe it. The first 4-6 weeks are the hardest. Everything gets better after that point in almost every case I've seen in this forum.