Many patients must stay on the drugs for life to keep the weight off, and the long-term impacts of these treatments remain unknown
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Consider Alternative Strategies For some patients, the following approaches may be discussed: Extended treatment duration : Continuing Wegovy beyond the initial assessment period, within the 2-year maximum treatment duration Intensified lifestyle intervention : Additional support within specialist weight management services Alternative medications : If Wegovy proves ineffective, other UK-licensed options such as orlistat or naltrexone/bupropion may be considered (availability varies by local NHS commissioning policies) Bariatric surgery referral : For individuals with BMI 40 kg/m (or 35 kg/m with comorbidities) who have not responded to non-surgical approaches
Want a Doctor-Supervised Approach For individuals looking for a safe, guided, and evidence-based weight loss solution, we can incorporate semaglutide into a comprehensive medical weight loss plan to support sustainable results
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Ethics declarations Competing interests JJH wrote the manuscript, with editorial assistance from the medical writer, reviewed and revised all outlines and drafts and approved the final version that was submitted
