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It should be avoided in pregnancy and breastfeeding unless specifically advised by a specialist

This is the moment when a conversation with a bariatric surgeon often becomes the most practical next step

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Relative contraindicationsconditions requiring closer monitoring or specialist inputinclude significant kidney impairment, active gastrointestinal disease, recent bariatric surgery, or concurrent use of certain medications that affect satiety or glucose metabolism

Curr Opin Behav Sci (2019) 28:10510

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