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For best penetration, apply to slightly damp skin or layer with a humectant like hyaluronic acid
Common gaps in initial submissions: Detailed diet and exercise log covering at least 12 weeks Documentation of supervised weight loss attempts (dietitian visits, weight management program enrollment) Lab work showing obesity-related metabolic abnormalities (elevated HbA1c, lipid panel, liver enzymes) Sleep study confirming obstructive sleep apnea Imaging or clinical notes documenting osteoarthritis or other mechanical complications of obesity Step 3: Physician letter of medical necessity
Janelle Duah is an ABMS board certified Internal Medicine Physician specializing in Primary Care and Obesity Medicine
Our medically supervised weight loss program offers personalized solutions designed specifically around your unique health history, lifestyle, and individual weight loss goals
Now, this is obviously necessary if you have high circulating levels of thyroid hormone, to begin with, but this medication is difficult to fine-tune
