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A Therapeutic Use Exemption (TUE) would be required for legitimate medical use by an athlete, but it is very difficult to obtain for S2 substances

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The NHS England pathway typically requires: Referral to a specialist weight management service Demonstrated engagement with dietary and lifestyle interventions Assessment of suitability and precautions Regular monitoring and review Private prescription is an alternative route, though costs are substantialtypically 150-300 monthly depending on the medication and dose