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Confirm your chart documentation BMI 30 (or 27 with a comorbidity like hypertension, type 2 diabetes, or sleep apnea) must be coded as an active diagnosis not just mentioned in visit notes

The typical keto breakdown of 70 to 75 percent fat, 20 percent protein, and 5 to 10 percent carbohydrates was designed for neurological conditions like epilepsy, not for someone trying to preserve lean mass while on a medication that already reduces total food intake significantly

So when you need a new prescription, ask your doctor if a generic equivalent can be prescribed