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availability varies by local formulary [18] Liraglutide (Saxenda) is licensed but has limited NHS availability If you are considering weight management medication, your healthcare professional will: Assess your BMI and comorbidities to determine eligibility (with lower thresholds for certain ethnic groups) Review your medical history , particularly cardiovascular and mental health Discuss realistic expectations about weight loss (typically 5-10% of body weight) Establish monitoring protocols including regular blood pressure, heart rate, and weight checks Provide ongoing support with lifestyle modification programmes Healthcare professionals strongly advise against obtaining medications from unregulated online sources or overseas pharmacies, as these may contain incorrect doses, contaminants, or counterfeit ingredients

From there, support is added only when it fills a meaningful gap