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[24] [25] For carefully selected patients with obesity and inadequate response to medical management, bariatric surgery remains the most effective intervention for sustained weight loss and metabolic improvement

Focus on: Protein at every meal to preserve lean mass Fiber-rich foods for fullness and glucose control Strength training and walking to protect metabolism Quality sleep and stress management to stabilize appetite cues These basics empower you to feel better on fewer calories, the heart of sustainable weight loss, and prepare your body for long-term success after medication

This is good to help handle common side effects

Dr Mithal, too, has heard of self-access to these medicines without specialist consultation

This risk is higher in non-clinical wellness settings where sterile protocols may be less strict