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For employer carve-outs, the appeal pathway is closed because the benefit comes from the plan document

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Once you reach a stable maintenance dose, we repeat this testing at the six to eight week mark to account for any changes in medication absorption or metabolic demand

What it means is that your body has activated a deeply ancient set of survival mechanisms, mechanisms that evolved over millions of years to prevent you from losing too much weight too quickly during famine

However, there are ways to combat, minimize and alleviate their duration
