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NICE obesity guidance (CG189) recommends multicomponent interventions addressing diet, physical activity, and behaviour change as first-line management

Bloating is often most noticeable in the first few weeks or after a dose increase

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I started at the end of November and Im down almost 30 pounds

It can also occur in those dogs and cats with exocrine pancreatic insufficiency (EPI) or senior dogs or cats

For my face and neck, I am using la Roche posay effaclar as it has always worked for me in the past, it is just very drying and not a quick fix unfortunately, so we will see