But you are also outside the clinical evidence base, which matters when things go sideways
For Aetna commercial plans, prior authorization typically requires a letter of medical necessity from the prescribing provider documenting the patient's BMI, at least one comorbidity, participation in a structured diet and exercise program for a minimum of three months, and the clinical rationale for the requested medication
Hair, skin, and other non-GI effects Rapid weight loss from any mechanism can trigger telogen effluvium, a temporary increase in hair shedding that occurs when the body diverts resources away from hair follicle maintenance
Cardiovascular glitches
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J Clin Endocrinol Metab 87: 23912394, 2002