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"Prior weight-loss intervention" does not mean "patient tried to eat less." Acceptable documentation includes: Prescription records showing 90+ days of orlistat, phentermine-topiramate, or naltrexone-bupropion Enrollment records in a structured weight-loss program (e.g., Weight Watchers, Noom, hospital-based program) with attendance logs Bariatric counseling visit notes from a registered dietitian or behavioral health provider, minimum of four visits over 90 days Self-directed diet and exercise, even if documented in provider notes, does not satisfy step therapy in most eviCore reviews

Start your intake What Causes Sulfur Burps When Taking Semaglutide Semaglutide slows gastric motilitythe speed at which food moves from your stomach into your small intestine

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Methods Good clinical practice recommendations were developed by a group of Latin American experts in GERD