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Self-Reporting Requirements Information Youll Provide: Current Measurements: Current weight (home scale) Height Recent blood pressure (if available) Medical History: Current health conditions Previous surgeries Medications and supplements Allergies Family health history Weight Loss History: Previous attempts Medications tried Results achieved Barriers encountered Lifestyle Factors: Diet patterns Exercise habits Stress levels Sleep quality Support system Honesty is Critical: Accurate information ensures safe prescribing Withholding information can lead to dangerous situations Providers make decisions based on what you report False information can result in inappropriate treatment Documentation That May Help (Not Always Required) Optional Supporting Documents: Recent lab work (CBC, metabolic panel, A1C, lipid panel) Blood pressure log Weight history documentation Medical records from primary care doctor List of current medications with doses These can strengthen your case but arent always necessary for approval

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Please see Prescribing Information and Medication Guide for RYBELSUS

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