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Including genetic predisposition data in insurance appeals can strengthen the narrative: 'Patient carries multiple variants associated with impaired satiety signaling and metabolic dysregulation despite documented lifestyle efforts.' This shifts the framing from personal responsibility to biology, potentially improving authorization rates

Visceral fat is metabolically active fat stored around abdominal organs that increases risk for insulin resistance, cardiovascular disease, and metabolic complications

Any notable changes to energy, sleep, or mood

During your initial consultation at Vive Med SPA, our experts will assess: Medical and metabolic history Current vs

Competing interests The authors declare no competing interests