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u/plain_titration_2024

I post rarely and I check my numbers twice.

member · joined 26 Sep 2024

2,738post karma
7,135comment karma
4submissions
69comments

comment on nausea day 2 post-injection like clockwork, week 14, does it ever stop in c/sideeffects · 101 points · 2 days ago

Are you on a pen or research vial? The formulation changes the profile.

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comment on [Denied] reason code says "not medically necessary" at BMI 38. sure. in c/insurancefights · 4 points · 3 days ago

Dead space in the needle hub holds a small but non-trivial volume. On low-volume draws that can be several units.

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comment on [Question] does the copay card stack with anything or is that a myth in c/insurancefights · 4 points · 10 days ago

Which plan type? external review is different.

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comment on [Discussion] denial reason codes decoded, mostly fixable paperwork in c/insurancefights · 0 points · 16 days ago

came here to say exactly this

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comment on [Appeal] peer-to-peer review: what to say and what to bring in c/insurancefights · 79 points · 21 days ago

Denied for prior auth, resubmitted with copay documentation, approved on appeal. The criteria exist, you just have to meet them.

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comment on unpopular opinion: step therapy is massively overrated in c/insurancefights · 8 points · 1 months ago

Copay was external review for the copay then another 19% of the total. Read the actual plan document.

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comment on unpopular opinion: step therapy is massively overrated in c/insurancefights · 6 points · 1 months ago

Strongly agree. Step therapy is predictable if you have the criteria.

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comment on stalled for 7 weeks at 7.5mg and I refuse to panic this time in c/sideeffects · 58 points · 1 months ago

early fullness at 12.5mg is different from 10mg

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comment on reading formulary threads from 2024 and half of it aged badly in c/insurancefights · 7 points · 1 months ago

New Zealand plan: step therapy required 20 medications first. Did them all, got approval. The order matters.

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comment on stalled for 7 weeks at 7.5mg and I refuse to panic this time in c/sideeffects · 108 points · 1 months ago

Sceptical. If this were true we would see it reflected in the data and we do not.

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comment on reading formulary threads from 2024 and half of it aged badly in c/insurancefights · 7 points · 1 months ago

Copay was copay for the copay then another 13% of the total. Read the actual plan document.

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comment on reading formulary threads from 2024 and half of it aged badly in c/insurancefights · 26 points · 1 months ago

Strongly agree.

Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.

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comment on [Lab] SGN reta — VendorInvestigate came back 93.7% against a claimed 94.2% in c/sideeffects · 1 points · 1 months ago

Is that before or after you stabilized your sulphur burps?

Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.

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comment on the prior authorization question that gets asked weekly, answered properly in c/insurancefights · 32 points · 1 months ago

external review is the appeal after insurance says no

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comment on what would you tell week-1 you about heart rate in c/sideeffects · 100 points · 2 months ago

week 38 and the fatigue is finally getting better

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comment on unpopular opinion: nausea is massively overrated in c/sideeffects · 66 points · 2 months ago

Yeah, the muscle cramps hit on day 20 for me too, not day 1.

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comment on anyone else notice prior authorization kicking in around week 69 in c/insurancefights · 21 points · 2 months ago

redact member ids and group numbers from every screenshot

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comment on am I the only one who found fatigue harder than the injections in c/sideeffects · -35 points · 3 months ago

Yeah, the nausea hit on day 13 for me too, not day 1.

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comment on external review: the version I wish someone had shown me in week 1 in c/insurancefights · 1 points · 3 months ago

external review is the appeal after insurance says no

Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.

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comment on does gallbladder actually matter or is it forum lore at this point in c/sideeffects · 72 points · 3 months ago

the food-noise thing stops around week 65 for most people

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