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PMID: 112 ReichN.HolscherC

"Food Is Medicine" strategies for nutrition security and cardiometabolic health equity: JACC State-of-the-Art Review

Some examples of real insurance company BMI thresholds that have been documented in coverage policies: CVS Caremark has required a BMI of at least 40, or a BMI of 35 with one or more comorbid conditions including cardiovascular disease, hypertension, dyslipidemia, diabetes, elevated waist circumference, or obstructive sleep apnea

There is no physiological reason you cannot alternate between protocols

Adequate protein intake and resistance exercise during treatment are important countermeasures

reported only minor cardiovascular effects despite increased insulin levels and reduced plasma glucose concentration, in patients without diabetes but with compensated heart failure [80]