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Current Texas Medicaid guidelines generally require: A confirmed diagnosis of type 2 diabetes Prior authorization BMI documentation Evidence that other treatments have been attempted In most cases, weight-loss-only indications are not covered under Texas Medicaid

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Best practice involves additional education in obesity medicineunderstanding the pathophysiology of weight regulation, contraindications for weight-loss drugs, monitoring protocols, and nutritional counseling basics

If you choose to have it, try to get the smallest size available, ask for no extra butter, and consider sharing it with others to keep your portion size very small

It also opens the door to potential treatment strategies borrowed from psychiatry, where providers have developed protocols for managing SSRI-related sexual side effects over decades