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doi: 10.1089/thy.2018.0018 129 RenaudCOZirosPGChartoumpekisDVBongiovanniMSykiotisGP

As it progresses, you may notice: toothache or a dull, constant ache in or around a tooth tooth sensitivity, particularly when eating or drinking something sweet, hot, or cold visible holes or pits in your teeth white, brown, or black staining on the surface of a tooth pain when you bite down bad breath that doesn't go away an unpleasant taste in your mouth dental abscesses (if the tooth or gum becomes infected) What causes tooth decay

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The typical denied patient: Female, age 38 to 52 BMI 32 to 41 Prediabetes (A1C 5.9% to 6.3%) or newly diagnosed type 2 diabetes (A1C 6.5% to 7.2%) Medicaid coverage through a state that requires A1C above 7.5% for GLP-1 approval Tried metformin for 60 to 90 days with partial response (A1C dropped from 7.0% to 6.7%, not enough to meet state threshold) Provider submitted PA, denied for "A1C not above threshold" The denial is technically correct under the state's criteria, but clinically frustrating