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However I have hit a brick wall since I have not increased the dosage

Filippi L, Fiorini P, Daniotti M

Current evidence to inform practical recommendations and guide future research"

This mismatch can confuse longitudinal assessment

Specialist referral to tier 3 weight management services or bariatric surgery assessment may be appropriate for individuals with BMI 40 kg/m or 35 kg/m with significant comorbidities who have not achieved adequate weight loss with conventional measures