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Dissatisfaction with excess skin is common and can affect self-confidence Transfer addiction, where a previous reliance on food shifts to alcohol, shopping, or other behaviours, affects around 4% of post-bariatric patients 14 The emotional relationship with food often needs addressing alongside physical changes from surgery and medication Getting support Speak to your GP or bariatric team if youre experiencing persistent low mood, anxiety, or difficulty coping with weight regain Cognitive behavioural therapy (CBT) has evidence for managing both depression and disordered eating after bariatric surgery Regular physical activity has consistent evidence for improving mood and reducing symptoms of depression Peer support groups for people whove had bariatric surgery can help reduce feelings of isolation If you notice changes in your relationship with alcohol or other substances after surgery, raise this with your GP If youre starting Wegovy after a period of weight regain, be aware that renewed weight loss can bring up complex emotions about your surgical experience Oral vs injectable semaglutide after a sleeve Semaglutide comes in two forms: an injectable version (Wegovy for weight management, Ozempic for type 2 diabetes) and an oral tablet (Rybelsus for type 2 diabetes)

More serious side effects can occur

93 , S147156 (2005)

Food and Drug Administration (FDA) conducted an internal review on the safety of GLP-1s that analyzed clinical reports of suicidal thoughts associated with using those medications

European Union: Novo Nordisk's core semaglutide patent (EP 1 934 235) expires in December 2023, the same as the U.S