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The NHS should introduce a stepped care approach through online support available to large numbers of people at low cost, online or in-person group support or more intensive 1:1 support. Jason Halford, at the European Association for the Study of Obesity, said: We need to ensure patients have the support to make the changes in their behaviour they need to sustain the benefits of treatment

Severe, persistent, or worsening fatigue should be assessed by a licensed healthcare professional