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The psychological burden of carrying excess weight, particularly in a culture that conflates thinness with desirability, can suppress sexual desire as effectively as any hormonal imbalance

This performance reflects unprecedented demand despite earlier supply constraints and sets the stage for pricing and reimbursement debates as the market matures

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subsequent reconsideration allowed at your MTF Fitness standards: If weight loss is related to meeting fitness standards, work with your unit's medical team to document medical necessity appropriately

2016;9(1):64] Wadden TA, Hollander P, Klein S, et al