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Description
Patients should be referred to or continue with structured lifestyle programmes that provide: Individualised dietary advice from registered dietitians Progressive physical activity plans appropriate to fitness level Behavioural psychology support to address eating patterns and triggers Regular monitoring and accountability Addressing barriers to weight loss is equally important

NHS access is likely to be available from 2029 at the earliest, and only if NICE finds it cost-effective

Cureus, 15(7), e42153

The Naranjo probability scale suggested a probable association between metformin and skin rash and metformin was definitively dismissed

Seek urgent medical advice if you experience: Severe or persistent gastrointestinal symptoms: Whilst mild nausea is common with Wegovy, severe or persistent vomiting, severe abdominal pain (especially if radiating to the back), or signs of dehydration require immediate assessment, as these may indicate pancreatitis or other serious complications

We concentrate on portion control and balance
