Tier 1 cases often include facts such as: A confirmed diagnosis of severe gastroparesis (stomach paralysis) or related motility disorder Hospitalization for repeated vomiting, dehydration, malnutrition, or electrolyte imbalance Surgical intervention related to bowel obstruction or intestinal complications Long-term feeding support, recurring admissions, or permanent digestive impairment High out-of-pocket expenses and substantial medical bills tied to emergency care and specialist treatment This tier typically reflects claims where damages extend beyond temporary symptoms and into lasting impairment that reshapes daily life
In those of us with diabetes, however, GLP-1 and insulin levels are low, which results in high glucagon levels
Mechanistically, these benefits appear tightly linked to albuminuria reduction (Agarwal et al, Annals of IM 2023)
Once your levels have stabilized, you may move to a maintenance phase, which could involve one injection every four to eight weeks