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However, individual state medical boards impose clinical practice standards (detailed in the State-by-State section) that you must follow things like: Documenting BMI 30 (or 27 with comorbidity) Conducting appropriate physical exams and ruling out secondary causes of obesity Obtaining informed consent Scheduling regular follow-ups Avoiding prohibited drug combinations or uses Violating these standards can trigger board investigations, even if youre legally allowed to prescribe

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Its possible that the study wasnt long enough to show all the beneficial effects over time, Chen says

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