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Category 3: Medical necessity not established (10% of denials) BMI below threshold Insufficient duration of prior treatment attempts Contraindication present (family history of medullary thyroid cancer, pregnancy) Solution: If clinical facts support coverage, file a formal appeal
Presented for research literature review only Huynh K (2025)
Endocrine Practice
Healthy Fat Inclusion Prioritize quality sources: olive oil, avocado, nuts, seeds, and fatty fish
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