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And hanging over all of it, the question nobody models well: how many grey-market customers convert to a branded product that will plausibly cost ten times what a Chinese supplier charges

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HCPCS (2026) Coder Note G0447 Medicare Benefit Structure Medicares Intensive Behavioral Therapy (IBT) for obesity benefit (G0447) requires: BMI 30 documented, provided by primary care physician in a primary care setting, with documented behavioral counseling (not just dietary advice)

Add cinnamon and banana if nausea is not active