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And it reduces gastrointestinal motility, further slowing food transit through the digestive system
Safer alternatives include optimising tirzepatide monotherapy with appropriate dose titration, structured NHS lifestyle programmes, licensed GLP-1 receptor agonists like semaglutide (Wegovy), or referral for bariatric surgery assessment
The two material categories are not interchangeable
5 It is reasonable to expect improvement over time, but it is also reasonable to get checked if shedding is persistent, worsening, or distressing
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