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We also conducted power calculations to assess the likelihood of detecting an effect given our sample 60,786 individuals. We found that increased BMI resulted in significantly higher GP costs; however, the IV-based effect estimate was smaller than the OLS-based estimate. We found no evidence of an association between BMI and specialist or total healthcare costs. Elevated BMI leads to higher GP costs, and more studies are needed to understand the causal mechanisms between BMI and specialist costs. Elevated BMI leads to higher GP costs,