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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

Byrne MM, et al

Although the UKPDS demonstrated that metformin caused a reduction in cardiovascular events in T2D patients (65), the patient population consisted of a small number of obese T2D subjects ( n = 342)

[DOI] [PMC free article] [PubMed] [Google Scholar] [82].Rinaman L

Why GLP-1 Medications Are Gaining Attention GLP-1s (glucagon-like peptide-1 receptor agonists) help regulate appetite and blood sugar by: Reducing hunger Enhancing satiety Improving insulin secretion and slowing gastric emptying Reducing food cravings and food noise My role as a dietitian in GLP-1 use As a registered dietitian and nutritionist, I work with many clients taking Ozempic, Wegovy, Saxenda, and Mounjaro [For a list of the GLP-1 medications, see Figure 1 of this article]