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A strong letter of medical necessity should include: your BMI history over at least 12 months, documentation of weight-related comorbidities (hypertension, type 2 diabetes or prediabetes, dyslipidemia, sleep apnea), prior weight-loss attempts and their outcomes, the specific clinical trial data supporting the requested medication, and a statement that the medication is medically necessary (not cosmetic)

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( Candida is trying to crowd out other similar organisms because they are trying to survive in their [limited] ecological niche, says functional and integrative practitioner Michael Ruscio, DNM

Journal of the American College of Nutrition, 38 (7), 577-585

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