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doi: 10.1038/s41467-017-00101-w 78 XingJZhangAMinzeLJLiXCZhangZ

You can pursue a compounded GLP-1 through a licensed 503A compounding pharmacy, which removes the authorization wait entirely and is priced as cash-pay, or you can change plans during open enrollment and re-check the formulary

Similarly, Ghneim et al

Other options include psyllium husk, methylcellulose, or other soluble fiber supplements can also help relieve constipation, but they may be more likely to cause bloating, gas, or other GI symptoms