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It varies sharply by national income, drug price, and structural conditions wages and the informal economy (to capture labour market productivity) and public funding of health care (to capture reduced health costs)

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The documentation your insurer typically wants includes a recorded BMI meeting the threshold (30 or above, or 27 with comorbidities), proof of at least one qualifying comorbidity, evidence of previous weight loss attempts (usually 3-6 months of documented lifestyle intervention), current lab work showing relevant metabolic markers, and a letter of medical necessity from your prescribing physician

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This paperwork burden is real and can delay approval by weeks