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Month 13 and beyond is the maintenance phase

Foods you used to crave barely register now, and the meals you do manage to eat feel like they sit in your stomach for hours

Four monthly infusions, priority access, and a dedicated nurse at a fixed monthly investment

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Step 4: Build Your Appeal Package A complete submission should include a cover letter summarizing your request, the LMN, supporting clinical documentation (labs, visit notes, cardiovascular risk profile, weight history), and a personal statement describing how the denial has affected your health and daily life