dushay: definitely.weights and higher body mass indices, for people who may have lower body mass indices however, they may have high cholesterol, high blood pressure, prediabetes. if they have cardiovascular disease they might be covered. certainly people who are in the high risk category due to comorbidities or very, very high body weight, i would very much like to see expanded coverage. william: what do you make of the argument, i am sure you have heard this, that given the efficacy at helping pooh-pooh -- helping people lose weight, that helps us take our eye off the ball of proper nutrition and exercise? dr. dushay: these medications are meant to be prescribed only in combination with a program that is paying attention to nutrition and physical activity. so, in the context of what someone is able to afford and physically do. however, there should always be a component of nutrition counseling, and also physical activity counseling as well. these medications are never meant to be used as a substitute f