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b Total direct health care costs = medical care costs + prescription drug costs

Abbreviations: BMI, body mass index (calculated as weight in kilograms divided by height in meters squared)

Spending on calorie-dense and processed foods (snacks, baked goods, soft drinks, alcoholic beverages) has declined by as much as 52% in some categories, while spending on lean proteins is up 27%, fruits and vegetables up 13%, and meal replacements up 19%

A Blue Health Intelligence study found that 30 percent of patients dropped out after just four weeks, well before the medication had reached therapeutic levels

Snacks For times between meals, some people find smaller protein options helpful