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If all factors look correct but benefit has flattened, clinicians may extend a dose step, maintain the current level longer, or consider alternative strategies like nutritional or behavioural adjustments
This includes occasional nursing for comfort, nighttime feeds only, or pumping even if not feeding directly
But potential future changes, such as the World Health Organization (WHO) designating liraglutide an essential medicine in the 2025 update to the EML, could tip the balance towards cost effectiveness
When your appetite drops, structure matters more, not less
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