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If you have a prior sleep study showing AHI 15 and a BMI 30, Zepbound for OSA may be accessible on your Aetna plan even if Zepbound for obesity is not

Tirzepatide may cause slightly more GI effects than semaglutide due to dual-pathway activation

That means a BMI of 30 or higher, or a BMI of 27 or higher plus a weight-related health problem (such as obstructive sleep apnea)