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They don't have the reinforcement value anymore," Doty says

These strategies help

Duloxetine DR may also cause side effects including but not limited to nausea, dry mouth, drowsiness, headache, fatigue, weight loss

The NHS weight management pathway involves a tiered approach, with patients first accessing tier 1 and 2 services (lifestyle interventions, dietary advice, physical activity programmes) through their GP or local authority services