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Currently licensed weight management medications in the UK include: Orlistat (lipase inhibitor that reduces fat absorption) Wegovy (semaglutide injection) for chronic weight management (typically BMI 35 kg/m, or 30 kg/m with weight-related comorbidities, via specialist weight management services) [13] Saxenda (liraglutide injection) , another GLP-1 receptor agonist (typically BMI 35 kg/m, or 30 kg/m with weight-related comorbidities) Mysimba (naltrexone/bupropion) is licensed but not routinely commissioned by the NHS [15] [16] NICE recommends lower BMI thresholds (typically 2.5 kg/m lower) for people from South Asian, Chinese, other Asian, Middle Eastern, Black African, or African-Caribbean backgrounds
If your genetic test shows better outcomes with tirzepatide, you pay the tirzepatide rate regardless of dose level
Moreover, the pronounced effect of ketogenic therapy on appetite regulation may further supports its effectiveness as a nutritional strategy for obesity management
Gallbladder removal is not a contraindication to semaglutide