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Anti-obesity medications are explicitly excluded from EHB under Section 1927(d)(2) of the Social Security Act, which was written in 1990 and carried forward into ACA regulations

The UKPDS 8 showed that reducing the HbA1c in Type 2 diabetics by 0.9% could reduce any diabetic end point by 12%, reduce any microvascular end point by 25%, reduce MI by 16%, reduce retinopathy by 21% and reduce microalbuminurea at 12 years by 34%

Patients with diabetes are at increased risk for complicated infections and should have a lower threshold for seeking medical evaluation

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Furthermore, polymyxins have been shown to inhibit cellular respiration in Gram-negative and Gram-positive bacteria by inhibiting the NADH-Q oxidoreductase (NDH-2) of complex I 23,24,25

Testing alone cannot resolve these issues