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Using lower doses of semaglutide is cheaper for patients, results in fewer side-effects and helps ensure that stocks of the drug, which are still limited, go further. The National Institute for Health and Care Excellence (Nice) approved the use of Wegovy for weight loss on the NHS in England last year

The MHRA and EMA continue to monitor safety data for semaglutide, and current evidence supports its use when appropriately prescribed and monitored, with gastrointestinal effects being generally manageable in nature

Never use this flexibility to compress multiple doses together or to skip weeks

Elaina opted for a nasal spray, which she bought on social media