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Pennsylvania is planning to limit Medicaid coverage to beneficiaries at the highest risk of complications from obesity

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Patients with active substance use may have compromised nutritional status, liver function, or medication adherence, potentially increasing risks

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Many of the courts, however, allow for an exception when it comes to "establishment claims"claims that the product is "clinically proven" or "clinically shown" to offer the stated benefitfinding that the claim could itself be misleading and actionable if the product is not backed by the claimed clinical test or study