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This churn drives up marketing and administrative costs for payers and employers, and disincentives payer investment in prevention, diagnosis, and management of chronic illnesses (such as obesity and the conditions associated with it)

This letter should include the patient's name, medication name (both brand and generic), dosage, administration route, and a statement of medical necessity

The carbohydrate restriction of ketogenic diets further reduces glucose availability, potentially necessitating medication adjustments

Toda et al., "Distinct effects of leptin and a melanocortin receptor agonist injected into medial hypothalamic nuclei on glucose uptake in peripheral tissues," Diabetes, vol