NICE guidance framework: Relevant NICE recommendations include: CG189 (Obesity: identification, assessment and management) includes bariatric surgery indications and follow-up principles NG28 (Type 2 diabetes in adults) supports GLP-1 agonist use for glycaemic control and weight management in suitable patients with diabetes TA875 (Semaglutide for managing weight) recommends semaglutide 2.4mg (Wegovy) for adults with at least one weight-related condition and a BMI of at least 35 kg/m (or 30 kg/m for certain ethnic groups), within specialist weight management services [2] Post-bariatric medication principles: NHS bariatric services typically follow these principles when considering additional medications: Timing generally not initiated until weight stabilisation occurs, which varies between centres Indication clear clinical need, such as significant weight regain, inadequate initial weight loss, or persistent comorbidities Multidisciplinary assessment review by bariatric team including surgeon, physician, dietitian, and psychologist Nutritional optimisation ensuring adequate vitamin and mineral status before initiating appetite-suppressing medications Monitoring protocols regular follow-up for efficacy, adverse effects, and nutritional parameters Prescribing considerations: Ozempic is currently licensed for type 2 diabetes , not obesity alone
Add spinach or avocado to your morning smoothie for an antioxidant boost
Much has been written about the use of Ozempic a diabetes drug used by those with and without the disease to control weight in Hollywood
& Lucki, I
Most evidence comes from wound healing studies, general dermatological research, and mechanistic data extrapolated to eczema pathology
Am J Clin Nutr 2018;108:525-31
