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The flat-rate compounded pricing, bundled provider access, and included dietitian support make it especially appealing for patients who know they will be paying out of pocket

I knew it was going to be less invasive than going through with the surgery, plus I couldnt find a provider that was willing to send me for the surgery because of all the risks that could happen with me and not such a great outcome

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13 International Classification of Diseases, Tenth Revision (ICD-10) codes were used to identify annual presence of BD (F30-F31), MDD (F32-F33), T2DM (E11), obesity (E66.0, E66.8, E66.9, Z68.30-Z68.39), stroke (I63), all diabetes (E08-E13), myocardial infarction (I21), obstructive sleep apnea (G47.33), chronic kidney disease (N18), and metabolic dysfunctionassociated steatohepatitis (K75.81)

23-25 Despite those studies showing an overall long-term benefit of tight sugar control in preventing worse retinopathy, a small percentage of subjects had a paradoxical early worsening seen in the first year

"What did we expect to happen?" Kessler calls these foods "ultra-formulated" (instead of "ultra-processed") because they've been engineered to manipulate the brain's reward system
