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You will need to demonstrate that you meet the BMI and health condition requirements, and your doctor will usually have to provide detailed documentation of your medical history, including your weight over time, any past attempts at weight loss, and relevant lab results

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This occurs in a 2-step process called Phase 1 and Phase 2 detoxification, in which fat-soluble substances are modified to water soluble for easier elimination by the kidneys into the urine, and out of the body