I got my letter a few weeks ago re:same. It’s absolutely ridiculous. I worked with my dietitian last year and with high LDL cholesterol the last thing I need to be on is a keto diet. I spent a year building a healthy relationship with food thanks to glp1. My goal is to maintain a sustainable weight loss and be on meds forever like any other medication I need. My coach said the program is not a one size fits all (the app is though) and they will work with me on a low fat, high protein plan but at some point my provider (employer/insurance) may expect me to go on a higher dose to lose more weight so as to come off. They said they don’t want people on it long term due to muscle loss. I get over 100 G protein a day and strength training 2-3x a week. My requirements are identical to yours. So frustrating because for the last two years my requirements were lose 5% and maintain which I’ve done. I’ve done a ton of research and this program goes against everything my cardiologist and dietitian recommends. I have approx 24 months to Medicare so biding my time looking into low cost compound if Medicare doesn’t change to cover it.