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Cigna generally approves Contrave for an initial four-month period for patients who: Are at least 18 years old Have already tried diet changes and lifestyle changes for at least three months Have a body mass index (BMI) is 30 or higher, or 27 or higher with a weight-related medical condition, such as Type 2 diabetes, high blood pressure, high cholesterol, sleep apnea, or heart disease Are using Contrave alongside a reduced-calorie diet and regular physical activity For people continuing treatment, Cigna may extend coverage for up to one year if they: Are 18 years or older Met the BMI requirements when they first started Contrave Have lost at least 5% of their starting body weight after the first four months Continue to follow dietary and lifestyle changes while taking the medication Exclusions also apply

These possibilities should be considered, especially if accompanied by pain, urgency, or changes in urine appearance

These include: Chemical peels Chemical peels Chemical peels are a deep exfoliating process that can break up the patches of melanin that form with melasma, reducing skin discolouration