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Your ideal timing emerges from honest observation, not external rules

BJU international 102 , 338350, doi:10.1111/j.1464-410X.2008.07755.x (2008)

CMS attempted to phase out expenditure authority for DSHP in Section 1115 Demonstrations in 2017 and in 2022, limited the size and scope of DSHP with required state contributions, a cap on the total amount of federal and state DSHP expenditure authority, and time limits for federal funds

But the relationship isn't linear, and many patients who struggled at 1.0 mg find that they tolerate 1.7 mg or 2.4 mg well, because their body has had time to adjust

"There's no magic bullet

Less commonly recognized but still valid qualifying conditions include prediabetes (elevated fasting glucose or A1C between 5.7-6.4%), polycystic ovary syndrome, non-alcoholic fatty liver disease, osteoarthritis of weight-bearing joints, and chronic kidney disease