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For patients who cannot tolerate injectable medications, other FDA-approved anti-obesity medications may be considered, including phentermine/topiramate ER, naltrexone/bupropion ER, or orlistat, though evidence for their use specifically in post-bariatric populations is even more limited

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The commenters suggested CMS to examine external benchmarks for what qualifies as a “good” quality measure score, for all measures including topped out measures, and reward high performers and improvement