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In 2020, the total combined direct cost of overweight and obesity in South Africa was estimated to exceed R33 billion, according to research conducted by the SAMRC and Wits Centre for Health Economics and Decision Science (PRICELESS SA)

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Insurance companies use PAs to restrict coverage to patients meeting narrow clinical thresholdstypically a BMI 30, or 27 with at least one weight-related comorbidity (such as hypertension, type 2 diabetes, or obstructive sleep apnea), combined with documented failure of previous lifestyle interventions

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