The right call depends on your tolerance, your budget, and how aggressive a result you are after
WADAs 2026 Prohibited List is in force, and USADA explains that IV infusions or injections over 100 mL per 12 hours are prohibited except in specific medical contexts or with an applicable TUE
Women under 50 are especially vulnerable to iron-deficiency anemia, while older adults on semaglutide face accelerated bone loss if protein and micronutrient intake lags

What Medicare Already Covers for Weight Management Even without the GLP-1 Bridge (which doesn't start until July 2026), Medicare already covers several weight management services that many beneficiaries don't know about: Current Medicare Weight Management Benefits Obesity Behavioral Counseling (Part B): If your BMI is 30 or higher, Medicare covers up to 22 intensive behavioral therapy sessions over 12 months with your primary care provider, at no cost to you Medical Nutrition Therapy (Part B): If you have diabetes or kidney disease, Medicare covers nutritional counseling sessions with a registered dietitian Diabetes Self-Management Training: Covers education on managing blood sugar, diet, and exercise Bariatric Surgery (Part A): Medicare covers certain weight loss surgeries if medically necessary These preventive services are often overlooked, but they can be a solid starting point, especially while waiting for GLP-1 coverage to become available