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Patients seeking NHS access should: Discuss eligibility with their GP , who can provide referral to specialist services where available Engage with local weight management programmes , as completion of these is often a prerequisite for medication consideration Be prepared for extended waiting times , potentially 1224 months from initial referral to treatment commencement Continue lifestyle modifications during the waiting period, as demonstrated commitment to behavioural change strengthens the case for pharmacological intervention It is important to note that there is no official guarantee of NHS access even for eligible patients, and availability varies significantly by region and integrated care board (ICB)

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They also check Vitamin B12 levels and how the patient is doing to adjust the treatment as needed

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