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In the post-bariatric context, prescribing decisions should consider : The patient's current BMI and weight trajectory Presence and severity of weight-related comorbidities Documented adherence to dietary and lifestyle recommendations Exclusion of reversible causes of weight regain (e.g., surgical complications, medication changes, psychological factors) Availability of multidisciplinary support NHS funding for Wegovy varies by Integrated Care Board (ICB) , and many areas have restricted access due to cost and supply constraints

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Do Not Choose Folate Treatment From an MTHFR Result Alone Before using folic acid, folinic acid, methylfolate, SAMe, methionine or aggressive methyl donors for anxiety or depression, consider the complete biochemical pattern