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If weight loss medication is deemed appropriate, you may be referred to a specialist weight management service where healthcare professionals experienced in managing complex cases can provide supervised treatment and monitoring, in line with NICE technology appraisal guidance

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Morbid obese patients are high risk for deep venous thrombosis (DVT) and the most effective preventive treatment is early ambulation

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That's not accessible to everyone, which creates a selection bias in the patient population: people who pursue NAD+ IV tend to be affluent, health-optimization-focused, and motivated to invest in preventive interventions