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An oral melanotic macule is a small, flat, well-defined brown to black patch in the mouth caused by harmless extra melanin in the lining
It undermines consistency across the entire protocol
4.2.2 Treatment approaches post-Irradiation therapy An overview of the methods used to mediate the TME post-irradiation therapy is provided in Table 3
Tier 2 and Tier 3 weight management services provide intensive support Dietetic input : Specialist dietitians can develop individualised plans accommodating Crohn's-related dietary restrictions whilst achieving caloric deficit Psychological support : Cognitive behavioural therapy and motivational interviewing address eating behaviours and emotional factors Physical activity programmes : Tailored exercise plans considering Crohn's-related fatigue and extra-intestinal manifestations Bariatric surgery represents the most effective long-term weight management intervention for severe obesity
