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Other routes of administration are permitted

Bariatric surgery consultation should be considered for patients with BMI 35 kg/m with obesity-related complications or 40 kg/m without complications (per ASMBS/IFSO 2022 guidelines), though insurance coverage in the US often requires BMI 35 kg/m with comorbidities or 40 kg/m without

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Medical supervision is strongly recommended if you pursue this combination to monitor nutritional status

If you are not used to eating fiber-rich foods, introduce them gradually to avoid gas and bloating