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Step 2: Gather Supporting Documentation Updated medical records documenting BMI, comorbidities, and treatment history Letter of medical necessity from the prescribing provider Peer-reviewed literature supporting the clinical need for the specific medication Documentation of failed alternative treatments Evidence that obesity is contributing to other medical conditions that Medicaid is currently treating (and paying for) Step 3: File the Appeal Most state Medicaid programs allow at least two levels of internal appeal before an external fair hearing

Results typically start between weeks 4 and 8

It adds a 2.4 mg dose (titrated up through 1.2 and 1.8 mg), pushing for more efficacy where the Phase 2 curve never plateaued

There was a new study that I shared, like a couple days ago even, showing that if you stop eating 3 hours before bed so these people were actually, its interesting, they had their blood pressure measured starting in the mid-afternoon all the way throughout the night