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Look for signs of metabolic dysfunction, abnormal liver enzymes, and fatty liver on imaging, even in patients who appear lean

Duration of nausea (length of each episode)

Virginia Medicaid changed criteria, limiting coverage to individuals with a body mass index (BMI) greater than 40 or those with a BMI greater than 37 with weight-related comorbidities (defined as hypertension, type 2 diabetes, or dyslipidemia) effective July 1, 2024

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Those undergoing anti-aging or skin-brightening regimens

Human dipeptidyl peptidase IV gene promoter: tissue-specific regulation from a TATA-less GC-rich sequence characteristic of a housekeeping gene promoter