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Group one received a placebo

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Regular follow-up and patient education on balanced nutrition are essential (Mikulska et al

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Margolis et al., 2021)

[18] Access considerations are important for patients to understand: Referral to Tier 3 or 4 specialist weight management services is required for NHS-funded weight management treatment with GLP-1 agonists Local formularies may restrict which GLP-1 agonists are available Supply shortages have affected availability, particularly for higher-dose formulations Private prescriptions may be necessary for those not meeting NHS criteria Ongoing monitoring and specialist input are typically required Patients interested in GLP-1 agonist therapy should discuss their individual circumstances with their GP, who can advise on local referral pathways to specialist services if appropriate