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Anxiety Reduction: Calming the Mind Anxiety and obesity frequently coexist, creating a feedback loop where worry drives overeating and weight gain intensifies worry

Patients may report that food simply tastes less appealing or that they experience diminished pleasure from eating

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The appeal should include: A letter from your provider explaining medical necessity Complete lab results (A1C, fasting glucose, lipid panel) Documentation of metformin trial with dates and doses Pharmacy records showing metformin fills Any documentation of metformin intolerance Internal appeals are reviewed by a different pharmacist than the initial reviewer