Consider Alternative Strategies For some patients, the following approaches may be discussed: Extended treatment duration : Continuing Wegovy beyond the initial assessment period, within the 2-year maximum treatment duration Intensified lifestyle intervention : Additional support within specialist weight management services Alternative medications : If Wegovy proves ineffective, other UK-licensed options such as orlistat or naltrexone/bupropion may be considered (availability varies by local NHS commissioning policies) Bariatric surgery referral : For individuals with BMI 40 kg/m (or 35 kg/m with comorbidities) who have not responded to non-surgical approaches
On the flip side, those same two slices also bring about 108 calories and over 8 grams of fat, with nearly 3 grams coming from saturated fat
Another side effect is becoming evident in some patients and that involves changes in skin quality
Nausea that persists beyond week 3 at a stable dose despite dietary modifications and OTC adjuncts signals a need for dose de-escalation rather than additional symptom management
Many patients must stay on the drugs for life to keep the weight off, and the long-term impacts of these treatments remain unknown
Value for money keep calorie deficit in mind
