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Full Text of Rev. Rul. 2002-19; Weight-Loss Programs Deductible for Diagnosed Obesity (PDF)
Internal Revenue Service [IRS] 
[Official Guidance] Apr. 3, 2002
Advance copy from IRS web server. Excerpt: Uncompensated amounts paid by individuals for participation in a weight-loss program as treatment for a specific disease or diseases (including obesity) diagnosed by a physician are expenses for medical care that are deductible under § 213, subject to the limitations of that section. The cost of purchasing diet food items is not deductible under § 213.
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