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These include: Delaware Kansas Massachusetts Michigan Minnesota Mississippi Missouri North Carolina Rhode Island Tennessee Utah Virginia Wisconsin Four states have entirely eliminated coverage for GLP-1s for weight loss as of January 2026

If a medication is contributing, the prescribing specialist may review whether alternatives or additional monitoring are needed

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[] Once the endocrine, post-inflammatory, and tobacco-related causes are excluded, it is imperative for primary care physicians to consider the inherent malignant potential of such pigmented lesions (melanotic macule/melano-acanthoma) to develop into melanoma and exercise caution with immediate effect for early detection and interception