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It is crucial to note that very low calorie diets (VLCDs) of less than 800 calories per day should only be followed under medical supervision within a structured, multicomponent weight management programme, as advised by NICE

Hold the syringe or pen at a 90-degree angle to the skin (unless instructed otherwise) and insert the needle swiftly and firmly into the skin at the chosen injection site

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The programme runs across four phases using the COM-B behaviour change model, covering nutrition, physical activity, sleep, and the psychological aspects of eating behaviour

To view a copy of this licence, visit About this article Cite this article Jane, A., Fioretto, P

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