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Enrollees with obesity and overweight diagnoses have higher health spending than those without such diagnoses In 2021, people with large employer private insurance coverage who had an obesity or overweight diagnosis had an average of $12,588 in total annual health costs, which is more than double the $4,699 in health spending for those with no obesity or overweight diagnosis on their health insurance claims for that year

However, the evidence so far from RCTs for a causal effect of B-vitamins is weak (Table 2) (Reference Charles, Ness and Campbell104Reference Salam, Zuberi and Bhutta108)

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That said, many women in perimenopause and menopause are reporting positive results: losing weight, improving blood sugar control, and feeling more in control of their bodies again