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The waiver authority specifically allows states to include the costs of such projects as spend under its Medicaid State plan, which makes the spend eligible for federal matching support so that the state no longer has to fund the services entirely out of its general fund

Possible effects on energy balance and body composition: Some data suggest modest improvements in energy expenditure and preferential loss of fat mass versus lean mass, but appetite suppression is the dominant driver of weight loss

Hyperglycemia drives intestinal barrier dysfunction and risk for enteric infection

The correct dosage can avoid overstimulation

Leptin signaling and leptin resistance