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A laboratory examination should include cardiovascular risk factors (fasting glucose, HbA1c, lipid status), common causes of polyneuropathy (renal and liver function parameters, serum protein electrophoresis, vitamin B1, B6, B12 status) and, in patients with gynaecomastia, testosterone levels

It's important to remember that insurance companies often require proof that you've tried other methods to manage your weight before they will approve coverage for more intensive treatments like injections

For patients, it means weighing potential benefits against theoretical unknowns

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