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Cycling: DSIP can be used continuously or cycled, depending on individual needs

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For appropriate patients, GLP-1 therapy may be a helpful tool, but it should be used as part of a complete medical plan rather than a stand-alone shortcut

This includes: Structured dietary programmes with regular dietetic input Supervised exercise regimens tailored to individual capabilities Behavioural therapy addressing eating patterns and psychological factors Regular monitoring of weight, metabolic parameters, and medication adherence For patients with severe obesity (BMI 40 kg/m or 35 kg/m with comorbidities) who have not achieved adequate weight loss with optimal medical management, bariatric surgery offers the most effective long-term solution