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Decades of miracle solutions promising dramatic results, like Wyeths fen-phen, which lead to heart failure
If denied, the most common reasons are: Insufficient metformin trial duration (submitted 60 days instead of required 90 days) Missing A1C lab result from past 90 days A1C below 7.0% (Ambetter considers diabetes "controlled" and does not approve intensification) Diagnosis code submitted as E11.9 (unspecified diabetes) instead of more specific code A study by the American Diabetes Association (Gabbay et al., Diabetes Care 2024) found that prior authorization denials for GLP-1 receptor agonists were overturned on appeal in 71% of cases when resubmitted with complete documentation
But, "for the group of people we call metabolically healthy obese, if they don't have any [health problems] related to high-BMI, there's nothing that's urgent that you need to lose weight for," says Dunaif
However, if you are impairing your detoxification pathways with prescription medications, it could be adding to your mold problems