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If a patient has a BMI over 30, or over 27 with at least one weight-related health condition, some insurers will approve coverage after a prior authorization process that documents the medical necessity and failed attempts with other therapies, says Suzanne Manzi, MD, a board-certified obesity medicine, pain medicine, rehabilitation, and electrodiagnostic medicine physician and co-founder of Performance Pain and Sports Medicine in Houston, Texas

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These samples were considered to be negative