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Most insurance administrators and HSA/FSA custodians now accept digital submissions through patient portals, though you can also mail paper copies

Step 2: Online Consultation Participate in a comprehensive telehealth appointment where your medical history, current medications, and weight loss goals are assessed

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Provide structure and consistency (daily check-ins, scheduled outings)

The signature-required delivery policy helps prevent this, but it also means someone needs to be available to receive the package

If reflux persists, medical evaluation is warranted
