Achieving major weight loss, whether through medication, lifestyle change, or bariatric surgery, can be life-changing — both physically and emotionally. However, maintaining your results and addressing the effects of rapid weight loss often come with new medical and financial questions. From NAD+ injections cost to whether Tirzepatide is covered by insurance, and the realities of skin removal after bariatric surgery, let's break down what you should know.

1. The Role and Cost of NAD+ Injections

NAD+ (nicotinamide adenine dinucleotide) is a coenzyme that supports cellular energy production and DNA repair. NAD+ injections have gained popularity for their potential benefits in improving energy levels, metabolism, and recovery — especially for patients managing fatigue after major weight loss or detox programs.

The NAD+ injections cost can vary widely depending on the clinic and dosage. On average, a single treatment session can range from $150 to $500, with full therapy packages costing over $1,000. While the science is still evolving, many wellness centers offer NAD+ therapy as part of a holistic recovery plan to support cellular repair and overall vitality.

2. Tirzepatide and Insurance Coverage

Tirzepatide, known under brand names such as Mounjaro and Zepbound, is a breakthrough medication for type 2 diabetes and weight management. It acts on two hormones — GLP-1 and GIP — that help regulate appetite, blood sugar, and fat metabolism.

A common question patients ask is whether Tirzepatide is covered by insurance. The answer depends on your diagnosis and insurance plan. For those using it for type 2 diabetes, most insurers provide at least partial coverage. However, for weight loss alone, many plans still categorize it as a “lifestyle medication,” meaning patients may have to pay out of pocket unless their doctor provides documentation of medical necessity.

Tip: If you're prescribed Tirzepatide for obesity, ask your healthcare provider to submit a prior authorization request to improve your chances of coverage.

3. Skin Removal After Bariatric Surgery

After major weight loss, many patients experience excess skin that can cause discomfort, rashes, or limit movement. Procedures like skin removal after bariatric surgery are not purely cosmetic — they can significantly improve quality of life and hygiene.

The most common form is a panniculectomy, which removes the hanging skin (“pannus”) from the lower abdomen. Whether a panniculectomy is covered by insurance depends on medical necessity. If your doctor documents chronic irritation, infections, or functional issues caused by the excess skin, many insurance providers may cover it fully or partially.

On the other hand, purely aesthetic procedures — such as a full body lift or tummy tuck (abdominoplasty) — are often considered elective and not covered.

4. Skin Removal Surgery Cost

If your insurance doesn't cover it, the skin removal surgery cost can vary significantly based on the areas treated and the surgeon's experience. On average:

  • Panniculectomy: $8,000 – $15,000

  • Full body lift: $15,000 – $30,000

  • Arm or thigh lift: $6,000 – $10,000

These prices typically include anesthesia and facility fees. Some surgeons offer payment plans or medical financing options to make the process more accessible.