Let me explain with my current situation. I am 22 F and I currently weigh 305lbs.

I am obese. Morbidly obese.

Even though I have been trying for 5 years at this point to lose the weight on my own. Eat healthier, eat more fruits and veggies, cut out excess sugar, walk more, exercise more, the whole kit and caboodle.

But I still am not losing the weight. I am still very fat. And I am worried that it will cause very serious health problems.

So I talked with my doctor and she told me “We need to get you on a weight loss medication. Let’s try Ozempic”.

But my insurance told us that they don’t think I need the Ozempic so they won’t pay for it.

So we tried Wegovy and Mounjaro. But my insurance still rejected our requests.

They’re saying because I am young, and I am a diabetic with good numbers, I dont need the weight loss meds and I can just lose the weight naturally.

But ive been trying to and it hasn’t been working. So that’s why my doctor prescribed me the weight loss med.

Why is this allowed? Why is it that your insurance can deny you a medication, even if your doctor says you need it?

  • Pommes_für_dein_Balg@feddit.org
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    3 hours ago

    LMAO @ “You missed one crucial thing: Have you tried eating less?”
    What a ridiculous question.

    Stay strong and I hope you can get the medication you need.

      • Pommes_für_dein_Balg@feddit.org
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        36 minutes ago

        Assuming that someone who’s been trying to lose weight for 5 years never considered eating less is laughable and condescending.

        It’s like telling someone with a severe substance addiction “You missed one crucial thing: Have you tried not doing drugs?”

        • gilokee@lemmy.world
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          37 minutes ago

          True lol. It’s just that that’s usually the culprit. Eating less is really hard, and tons of people are addicted to food. I’m not trying to be the enemy here, despite what it seems. It’s the fact that OP didn’t say they tried eating less in their post, so that was what first came to mind.