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Requirements for the OSA pathway at Kaiser: AHI 15 on a qualifying sleep study (moderate-to-severe OSA) BMI 30 at time of PA submission Obstructive sleep apnea (not central sleep apnea the indication is specific to obstructive OSA) Sleep study within the past 3 years older studies may require repeat testing An important practical note: Kaiser's sleep medicine department can perform diagnostic sleep studies

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We track pain, function, and imaging at regular follow-ups

Seasonal storage considerations Where you live and the time of year create unique storage challenges that generic guidelines do not address

Visceral fat tends to be the first type you'll lose if you start exercising more

Over time, regular B12 injections can help maintain consistent energy levels, metabolic function, and overall wellness