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People with history of liver disease

Despres JP, Carpentier AC, Tchernof A, Neeland IJ, Poirier P (2021) Management of obesity in cardiovascular practice: JACC focus seminar

Skin becomes thickened velvety with dark brown pigmentation

GLP-1 receptor agonist medications mimic this hormone at sustained therapeutic levels to treat type 2 diabetes and obesity

Include the original PA denial letter, updated lab results (especially HbA1c and any metabolic panel changes), a letter of medical necessity from your prescriber, and documentation of prior medication trials with specific dates, doses, and clinical outcomes

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