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This responds well to dietary modifications (avoiding acidic foods, not eating close to bedtime, smaller meals) and in some cases, temporary use of over-the-counter antacids

Reasons for low levels of initiation and long-term use of AOMs may include reluctance of public health and medical organizations to recognize obesity as a disease, lack of reimbursement, provider inexperience, and misperceptions about the efficacy and safety of available treatments

Notably, higher levels of infiltration of fat into muscles are associated with decreased muscle strength and deficits in function

These can include feeling full sooner during meals or experiencing a reduced desire to snack throughout the day

Eli Lilly's direct-to-patient program became the most common self-pay alternative in 2026 for Aetna members whose plans deny or exclude weight-loss coverage