Letter of Medical Necessity (LMN) from the prescribing clinician for weight-loss use, stating the diagnosis, the recommended treatment, the duration, and why the medication is medically necessary
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Biotin supplementation (2.5 mg daily) strengthens hair keratin structure, though clinical trials show modest effects
It produces worse side effects, more discontinuations, and often slower progress because severe GI symptoms prevent adequate nutrition and hydration
Tracking body composition, metabolic markers, and physical function can help distinguish healthy weight loss from unwanted muscle loss and guide adjustments over time