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Some patients on NHS maintenance feel symptoms return before the next dose, which is a conversation for your GP, not a reason to add private top-ups unannounced

Andrews Book a free consultation with Dr

NICE-approved weight management interventions include: Dietary and lifestyle modification first-line approach for all patients Orlistat licensed medication for obesity (BMI 30 or 28 with comorbidities) GLP-1 receptor agonists including semaglutide (Wegovy) per NICE TA875 and liraglutide (Saxenda) with restrictions per NICE TA664, for specific patient groups Bariatric surgery for severe obesity meeting strict criteria The NHS emphasises that sustainable weight loss requires behavioural change, nutritional education, and increased physical activity

These conditions can change how often and how much B12 you need