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That's standard for a 50-state telehealth MSO - it's not a gap in the system, it's how responsible multi-state telehealth networks are designed to function

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Follow-up and Ongoing Care : Schedule any necessary follow-up appointments to monitor your progress or to modify the treatment plan as needed

He adds that its important to talk to your provider about your health goals, personal and family health history, and any medications you might be taking

Additionally, as weight loss progresses, gastro-oesophageal reflux often improves due to decreased abdominal pressure, potentially allowing reduction of acid-suppressing medications