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There is no silver bullet to weight loss or is there

Anal fissures are tears that occur in the membranes on the inside and around the anus

we hope this guide, written by academics, consultants, GPs and a patient with lived experience will help you to prescribe safely particularly in primary care: don't forget to think about the risks with polypharmacy as people lose weight, the return of fertility, risks and side effects, masked malignant weight loss, the risks of malnutrition in obesity (particularly for those who struggle to afford nutritious food) enquire about what people are actually eating (rather than just about caloric reduction or weight lost): "when did you last eat a green leafy vegetable?", "what did you have for breakfast/lunch/dinner yesterday?", "what are you drinking?" are good enough screeners for most people in short consultations: *dietary quality matters* British Society of Lifestyle Medicine Royal College of General Practitioners Sarah Le Brocq Dr Laurence Dobbie Barbara McGowan Dipesh C

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