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Common Prior Authorization Criteria BMI documentation: Most states require a documented BMI of 30 or greater, or 27 or greater with at least one weight-related comorbidity (hypertension, type 2 diabetes, dyslipidemia, obstructive sleep apnea) Failed lifestyle modification: Typically 3 to 6 months of documented dietary counseling and physical activity recommendations that did not produce adequate weight loss Step therapy: Some states require patients to try and fail less expensive medications (phentermine, orlistat) before approving GLP-1 coverage Provider qualification: Some Medicaid plans require the prescriber to have completed training in obesity medicine

Check the nutrition labels while food shopping to see how much vitamin B12 different foods contain

While this may not be true for EACH and EVERY person, its still worth considering

They can help you figure out how to monitor and supplement your B12 as needed

PMID 3927946

Your safety is worth the small additional cost of fresh supplies