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[17] [18] Evidence-based strategies to optimise long-term effectiveness include: Regular dose review : Working with healthcare providers to ensure patients are on an appropriate therapeutic dose, with consideration for dose escalation if weight loss plateaus and the medication is well-tolerated Structured lifestyle support : Engaging with dietitians, physiotherapists, or NHS weight management programmes to reinforce behavioural changes and prevent gradual increases in caloric intake Monitoring and accountability : Regular follow-up appointments to track weight, metabolic parameters, and treatment adherence, as recommended in NICE guidelines for obesity management Addressing side effects proactively : Managing gastrointestinal symptoms or other adverse effects to improve adherence and prevent treatment discontinuation It's important to note that current evidence and clinical guidelines do not support the use of "medication holidays" or cycling of GLP-1 treatments

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And stick with a plan

Prolonged or severe vitamin B12 deficiency may therefore cause permanent brain or nerve damage