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In guidance for pharmacies acting at a distance, including online, the GPhC says: Some categories of medicines are not suitable to be supplied online unless further safeguards have been put in place to make sure that they are clinically appropriate these include medicines liable to abuse, overuse or misuse or when there is a risk of addiction and ongoing monitoring. The GPhC confirmed this category included medicines used as weight loss treatments

Some patients remain symptomatic despite biochemically normal thyroid function tests, and a thorough review of thyroid management with an endocrinologist may be warranted before pursuing additional weight loss interventions

Possible side effects and when to seek medical advice Like all medications, weight loss medicines can cause side effects, and understanding these helps patients manage them effectively and know when to seek help

Once the body adjusts, we gradually increase the dose until the patient reaches their target weight loss goal

Patients experiencing metabolic concerns should consult their GP or practice nurse for evidence-based treatment options, which may include lifestyle modifications and NICE-recommended pharmacological interventions where appropriate