Lancet 373 , 18491860 (2009)
Insurance companies require extensive documentation including BMI history, previous weight loss attempts, comorbidity documentation, and often a 3-6 month supervised diet program
Related reading: Weighing Your Options: 4 Tools to Break the Cycle of Obesity
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Other ingredients Filtered water, phosphoric acid, citric acid, malic acid, natural and artificial flavors, sucralose, potassium sorbate (preservative), sodium benzoate (preservative]