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In October 2025, the Welsh government confirmed plans to develop a new clinical pathway to treat obesity as a chronic, recurring condition and support equitable access to weight-loss drugs and wrap-around care, including in appropriate primary care and community settings 42

Weve moved from a purely glucose-centric model to a comprehensive, risk-reduction paradigm

Figure 1 Clinical examination revealed adduction paresis of the fingers of the left hand (muscle strength grade 3/5), atrophy of the interosseous muscles, distally accentuated hypesthesia of the left upper extremity, spasticity of the left lower extremity, and an unsteady gait with a tendency to fall to the left

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