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And many insurance plans may still consider obesity a cosmetic issue rather than a medical one (despite the evidence that obesity is a chronic illness)

Injection Site Reactions: Some patients may experience mild swelling or irritation at the injection site

To protect patients, Congress has strictly limited compounding

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However, very low-calorie diets (VLCDs) typically defined as fewer than 800 kcal per day can place significant physiological stress on the body and should only be undertaken under medical supervision, in line with NICE guideline CG189 (Obesity: identification, assessment and management)