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Other risk groups include older adults, pregnant women, people taking metformin or long-term acid-suppressing medications (PPIs, H2 blockers), those with conditions affecting the gastrointestinal tract (pernicious anaemia, Crohn's disease, coeliac disease), and individuals who have undergone gastric or ileal surgery

These factors suggest starting slightly higher than the minimum effective clinical dose to account for real-world variability

Link to existing habits

Each step exists for a specific reason, and skipping any one of them introduces contamination risk or dosing error

Aseptic technique is key

Together, we can tailor a weight management strategy that aligns with your health goals, ensuring a safe, effective, and sustainable path to weight loss