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Non-coeliac gluten sensitivity is a symptomatic entity, lacking both autoimmune and allergic markers, and increasingly understood to implicate fructans and amylase-trypsin inhibitors as much as gluten itself

Express Scripts requires documentation of at least one prior weight-loss intervention attempted for 90 days or longer within the past 12 months

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Understanding this pharmacokinetic profile helps patients and healthcare professionals make informed decisions about treatment changes, side effect management, and planning for surgery or pregnancy

Qualification is based on BMI and health history BMI 35+ qualifies automatically