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Patients rightly focus on starting treatment, but keeping weight off usually depends on habits that can outlast medication changes
Both drugs are available privately for adults with a BMI of 30 or above, or 27 or above with a weight-related condition, and a smaller group can access them on the NHS through specialist services or the phased Mounjaro rollout
The first changes are subtle: skin that feels smoother, a scalp that feels calmer
Others may be difficult to avoid, including brain injury or environmental factors
Having cleared the hurdle as a treatment for diabetes, the FDA then approved semaglutide, marketed as Wegovy, for obesity in 2021, and then in Europe the following year
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