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[3] [6] Many Integrated Care Boards (ICBs) have established specific pathways for GLP-1 receptor agonist prescribing, often requiring specialist initiation and defined review points

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For weight management, NICE provides guidance on eligibility for specialist weight management services, which may include other pharmacological options such as orlistat (though this can also cause gastrointestinal side effects that may be problematic in IBD)

Brand-Name Options: Wegovy and Zepbound Shed also facilitates access to FDA-approved brand-name medications

These drugs work by mimicking a natural hormone called glucagon-like peptide-1, or GLP-1 for short

This is a proposal, not a final rule, but it signals where enforcement is heading, and it explicitly questioned the idea that an oral or sublingual route justifies compounding
