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Because the two drugs work differently, the dosing amounts are different

Intensive lifestyle intervention for obesity: principles, practices, and results

Comment: One commenter requested CMS reconsider in future rulemaking requiring hospitals to encode a maximum allowed amount that would reflect the maximum total allowed amount a hospital has historically received for a third party payer for an item and service

Long-term supplement use

Some providers will prescribe GLP-1 medications for patients whose BMI falls slightly below the 27 threshold if there is strong clinical justification