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These new drugs like retatrutide may get more robust results for those who have already tried and failed
Patients should be referred to or continue with structured lifestyle programmes that provide: Individualised dietary advice from registered dietitians Progressive physical activity plans appropriate to fitness level Behavioural psychology support to address eating patterns and triggers Regular monitoring and accountability Addressing barriers to weight loss is equally important

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Aspiration pneumonia: In cases described in litigation, some patients allegedly aspirated stomach contents due to impaired gastric motility, causing lung complications
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The issue of the impact of ketogenic diets on overall cardiovascular risk is frequently raised, citing various (and sometimes conflicting) results regarding LDL levels [256]