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This is a direct pharmacological effect not related to eating

How Prior Authorization Affects OutofPocket Cost Prior authorization can delay access but may reduce out-of-pocket costs by requiring clinical criteria adherence

Because these medications affect the way the body digests food, they can also cause disruptive gastrointestinal side effects, including a loss of appetite, stomach upset, nausea, vomiting, or diarrhea

Pizato N, Botelho PB, Gonalves VSS, et al

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How could this happen he wondered