On a brighter note, I hit my out-of-pocket max already this year! Free healthcare for the rest of the year! Woohoo! Of course, it means I spent a fortune... but silver linings, right?
Used both. Tirz is way better for me — fewer side effects, way more effective. Quit sema because it tanked me and didn't move the scale. Been off a year so can't compare switching directly. Price is rough, but worth the investment in my biggest health lever.
The insulin resistance coverage gap is one of the more frustrating policy failures in this space - it's exactly the population that benefits most and has the clearest clinical rationale for the medication. The FDA approval scope expanding would help but insurance policy changes tend to lag years behind the clinical evidence.