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weight-loss pharmacotherapy may not be appropriate Gastrointestinal conditions, particularly gastroparesis or inflammatory bowel disease Thyroid disorders (report any symptoms such as neck swelling, difficulty swallowing, or hoarseness) Diabetes and current glycaemic control Cardiovascular conditions Any history of pancreatitis or gallbladder disease All current medications and supplements must be disclosed, as both Wegovy and escitalopram may interact with other medicines

It supports practitioner theory only and does not include hands-on injecting, supervised assessment or clinical competency sign-off

A p value of less than 0.05 was regarded as a significant difference

Enter berberine a plant-based compound with centuries of traditional use and emerging scientific support