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According to CMS, qualification requires a BMI of: BMI 35 with no additional clinical condition required , or BMI 30 with at least one of : heart failure, uncontrolled hypertension, or chronic kidney disease, or BMI 27 with at least one of : pre-diabetes, prior heart attack, prior stroke, or symptomatic peripheral artery disease

Work with your doctor to discover what underlying condition might be causing high TMAO levels and to develop an appropriate plan to improve your health

doi: 10.2337/dci21-0034 12 RetnakaranRPuJYeCEmeryAHarrisSBReichertSMet al

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You need predictable, steady medication levels with proven efficacy for weight loss or metabolic improvements