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What to Expect in Months 7-11 Essentially no side effects: Appetite suppression continues (desired effect), but GI symptoms gone Weight loss velocity slows: From 0.8kg/week (months 3-6) to 0.3-0.5kg/week Plateau around week 40-48: Weight stabilizes, no longer losing despite continued medication Total weight loss: Average 20-24% from baseline (matching or exceeding surgical outcomes) Focus shifts to maintenance: Accepting current weight, preventing regain Plateau frustration: Not a side effect but an emotional challenge 2 Final Strategies for Months 7-11 20

Commenters stated that there is no clear reason to solely enhance payment for infectious disease specialists via an add-on code when there are various other specialties that frequently provide vital E/M services in inpatient settings whose professional services are undervalued under the current fee schedule

Importantly, they should not be mild or chronic or waxing and waning without clearly defined episodes [4, 7]

For example, certain biological products or drugs (like some vaccines or delicate protein-based drugs) should not be reconstituted with bacteriostatic water because the preservative could interfere with the drugs stability or efficacy