Field Notes
Evidence-based notes on metabolic health, GLP-1 care, and feeling like yourself again.
Dr. James Simmons, MD · October 21, 2026
Insurers usually cover Mounjaro only with a type 2 diabetes diagnosis. What plans ask for, how Medicare treats it, and your options if you want it for weight.
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Four brand names, two molecules. Which drug each contains, what each is approved to treat, the dose ranges, and why the same molecule carries two names.
Tirzepatide and semaglutide compared on mechanism, the one head-to-head obesity trial, side effects and dosing - including what that trial does and does not establish.
The two sections of federal law that compounding runs through, what each one means for oversight, and what changed for compounded GLP-1s once the shortages ended.