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In person consultations with a weight loss doctor can identify conditions that make these medications inadvisable, the bloodwork establishes a starting point and ensures proper dosing, and the ongoing follow-up helps manage side effects and determines whether the patient is losing fat, losing muscle, or developing a complication that needs attention
Even with a perfect case, a denial can still happen due to a technicality or a reviewer's interpretation of the guidelines
(2006) Carnitine transport and fatty acid oxidation Biochimica et Biophysica Acta, 1763(11):1412-1423
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