Hello. I had to have that for my insurance. I went to my regular doctor and was on a 1500 calorie a day diet and I had to weigh in at least once a month and have vitals checked and a record of this for 6 months. I did pass pretty fast. I know it seem like a lot to do but believe me it is so worth it. I would do it again in a heart beat. It has been life saving for me. Good luck ....
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