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The BALANCE Model launching May 2026 could expand access significantly but states must opt in voluntarily

Costs are out-of-pocket on a recurring 28-day cycle, and payments are non-refundable once processed per the published terms

In clinical care, eligibility determines whether a patient is an appropriate candidate for treatment

If there is remaining solution after 28 days, discard it

It important to not titrate your dose too quickly and only increase the dose if side effects are manageable and you are not noticing appetite suppression on the current dose

A Japanese study discussed the safety and efficacy of oral SEMA 14 mg in patients with MASLD and T2DM