You may be asked to jump through hoops, such as going on doctor-supervised weight loss programs, providing a detailed history of failed weightloss efforts, documentation from multiple specialists, or proof of other interventions such as nutritionists
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Surgery 170(1):1317 Abdi Beshir S, Ahmed Elnour A, Soorya A, Parveen Mohamed A, Sir Loon Goh S, Hussain N et al (2023) A narrative review of approved and emerging anti-obesity medications
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Cardiometabolic outcome trials Older women taking orlistat had improved biventricular diastolic function and beneficial restructuring of their myocardium, producing a lower left ventricular mass, at the end of 6 months, although the cardiac outcomes were likely the result of weight loss rather than independent effect of orlistat [105]
He adds that they may recommend adjusting your dosing schedule or other strategies to help you get back on track