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Cigna typically requires BMI over 30 plus a documented weight-related condition (diabetes, hypertension, or cardiovascular disease) and proof of failed lifestyle intervention

[DOI] [PubMed] [Google Scholar] 22.Enomoto HJ, Yeatts J, Carbajal L, Krishnan BR, Madan JP, Laumas S, Blikslager AT, Messenger KM

A study of 800 people wearing continuous blood glucose monitors showed that individual glucose responses varied widely and depended on many variables, including the gut microbiome, normal dietary habits, and physical activity level.[ref] The best way to know how foods affect you would be to wear a continuous blood glucose monitor

Step One: The body combines glutamate and cysteine