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Relevant UK guidance includes: NICE Technology Appraisal for semaglutide (Wegovy) in weight management sets out the criteria for use and monitoring in adults with obesity [4] [5] NICE guideline NG28: Type 2 diabetes in adults: management covers the use of incretin-based therapies in type 2 diabetes [6] NICE Technology Appraisal for tirzepatide (Mounjaro) in type 2 diabetes confirms the scope of UK recommendations for tirzepatide [7] [8] Your prescriber can help assess whether your symptoms are expected, manageable, or warrant a change in treatment

For clinicians used to watching kidney disease march forward despite treatment, these results were a massive shift

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The key to successful use of these drugs, says Dr Williams, is ongoing support, motivation and expertise to ensure that people do all of the right lifestyle and psychological interventions alongside the medication. The large landmark studies which initially proved the effectiveness of these drugs for weight loss all incorporated lifestyle advice and support, not just a leaflet as many online prescribers give.' Example exercise programme 'For people using GLP-1 medications, the goal is muscle preservation, metabolic protection and sustainability, not extreme calorie burn,' says Dr Ajaz