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HRAs are funded entirely by your employer and governed by an employer-written plan document that can exclude weight-loss medications, require prior approval, or demand a Letter of Medical Necessity (LMN) before reimbursement

Physiology & Behavior, 27, 10311040

Youll often see the second point supported by a 2021 paper in Science showing that basal metabolic rate remains relatively stable through adulthood , including in perimenopause and menopause

However, shared evidence and rulings apply across cases, improving efficiency and consistency

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