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These services, available in most NHS regions (though access varies locally), offer intensive support including psychological therapy, specialist dietetic input, and consideration for bariatric surgery referral when appropriate
Both medications can affect appetite and weight, but in opposite directionssemaglutide suppresses hunger while Lexapro may slightly increase it in some patients
3-5 ,
Drinking plenty of water throughout the day helps counteract any fluid loss from gastrointestinal side effects and can alleviate headaches and fatigue
Escalation phase (weeks 5-12): Doses increased by 2 mg every four weeks
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