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This process involves your doctor submitting documentation proving you have a BMI of 30 or higher (obesity), or a BMI of 27 or higher with at least one weight-related comorbidity (high blood pressure, type 2 diabetes, high cholesterol, sleep apnea, etc.), and documentation of previous weight loss attempts (diet, exercise programs, sometimes previous medications)

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Moreover, the presence of NAFLD is a robust predictor of MetS [68]

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