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Patients With Class II Obesity and Serious Comorbidities These include: Type 2 diabetes mellitus Obstructive sleep apnea Hypertension Dyslipidemia Non-alcoholic fatty liver disease Michigan Medicaids updated clinical guidelines mirror the states existing requirements for bariatric surgery coverage, which similarly use BMI thresholds and comorbidities as qualifying criteria (MDHHS, 2023)

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The cycle becomes self-reinforcing as decreased accomplishment in important life areas leads to increased reliance on immediate pleasure sources