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We focus on improving body composition on semaglutide rather than simply achieving weight reduction

After your initial series of treatments, many of our clients move to maintenance sessions, which might be scheduled monthly or even less often

Prolonged vomiting or diarrhoea can lead to dehydration and acute kidney injury, so maintaining adequate fluid intake is essential

Initial blood tests typically include: Full liver function tests (LFTs): ALT, AST, ALP, GGT, albumin, and total/direct bilirubin Full blood count (FBC): To assess for anaemia Haemolysis screen: Reticulocyte count, blood film, LDH, and haptoglobin (direct antiglobulin test [DAT] if immune haemolysis is suspected) Coagulation screen (PT/INR): To evaluate synthetic liver function Renal function and electrolytes Nutritional markers: Vitamin B12, folate, ferritin, iron studies, vitamin D Viral hepatitis serology (hepatitis A, B, C, and E) when a hepatitic or cholestatic pattern is present or unexplained Autoimmune liver screen (ANA, SMA, AMA, IgG) if viral causes are excluded and liver enzyme abnormalities persist Imaging investigations: Abdominal ultrasound is the first-line imaging modality for suspected biliary pathology, in line with NICE CKS guidance on gallstones

This retention produces common symptomsbloating, fullness after small meals, and early satietythat manifest subjectively as nausea or queasiness