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These currently include: Orlistat available on NHS prescription and over the counter Semaglutide (Wegovy) authorised by the MHRA for weight management in adults with obesity or overweight with at least one weight-related comorbidity, and recommended by NICE for use within specialist weight management services (NICE technology appraisal TA875) Tirzepatide (Mounjaro) authorised by the MHRA for weight management in adults with obesity (BMI 30 kg/m) or overweight (BMI 27 kg/m) with at least one weight-related comorbidity, and recommended by NICE for use within specialist weight management services (NICE technology appraisal TA1026) Patients interested in emerging treatments such as retatrutide may wish to discuss their options with their GP or a specialist in obesity medicine

Keep these rules in place: Always refer medication questions back to the prescribing clinician Use clear intake forms and informed consent for coaching while on medication Maintain privacy and use secure communication tools for telehealth communications Complete partner provided trainings on medication side effects and red flags Good telehealth partners will provide these training modules so you can coach safely and confidently

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Eat a protein-rich snack before social events so you are not starving when presented with tempting options