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At Jan Medical Group, the SHAPE programme provides exactly that: a physician-led evaluation that produces a personalised recommendation, whether Mounjaro, Wegovy, or another approach altogether, based on clinical evidence and your individual profile

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35,43 Meta-analyses evaluating percutaneously placed interspinous spacer devices found that although there may be some benefit in patients without spondylolisthesis who have extension-based neurogenic claudication, there are high rates of complications and reoperation

[DOI] [PMC free article] [PubMed] [Google Scholar] 316.Saw, P