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Lifestyle modificationsincluding a balanced diet, regular physical activity, and weight management remain foundational and should be optimised alongside any pharmacological treatment

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Most insurersincluding employer-sponsored plansrequire one of the following: A BMI of 30 or higher , or A BMI of 27 or higher with at least one weight-related condition, such as: High blood pressure High cholesterol Type 2 diabetes Even when criteria are met, insurers almost always require a prior authorization , where the prescribing provider explains the medical necessity of the medication