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If NHS prescription isn't available or appropriate, your GP can discuss alternative evidence-based approaches, referral to specialist weight management services, or consideration of other medications like orlistat (which has different eligibility criteria under NICE guidance)

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No evidence supports it

Diabetes remission in the alliance of randomized trials of medicine versus metabolic surgery in type 2 diabetes (ARMMS-T2D)

For individuals who cannot tolerate weight loss injections after cholecystectomy, or for whom they are unsuitable, several evidence-based alternatives exist within NHS pathways

PMID: 28711425 Ehrenpreis ED, et al