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Covers elective surgeries, specialty referrals, advanced imaging (MRI, CT, PET), and non-formulary medications

Central appetite suppression: Amylin crosses blood-brain barrier Activates area postrema (brainstem) Also acts on nucleus accumbens Direct satiety signaling Reduces desire to eat Different brain pathways than GLP-1 3

Intravesical BPC-157 (10 mg) injection has shown remarkable effectiveness for patients with moderate to severe interstitial cystitis for whom treatment with pentosan polysulfate failed

She reported no drop in energy over several months

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