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As summarized by the American Journal of Managed Care: "Physicians have pointed out that no other chronic condition in Medicare is treated this way with an effective medication offered temporarily and then potentially withdrawn." For obesity, which is classified as a chronic condition by the American Medical Association and most major medical societies, offering 18 months of effective treatment with no guaranteed continuation is clinically unusual

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Its especially important for producing nitric oxide, which widens blood vessels to support blood flow, promoting immune function and aiding cellular communication

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