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He highlights the importance of a well-rounded, multi-pronged approach that may involve: Lifestyle modifications: A balanced, nutrient-rich diet (think lean proteins, vegetables, whole grains) and regular exercise (like brisk walking or strength training) help set the foundation for keeping the weight off long-term Close monitoring of metabolic markers to detect early signs of relapse Restarting medication when clinically appropriate Long-term low-dose medication, aka microdose, is an area of active research, with studies showing potential benefits in weight management and metabolic health Personalised treatment plans and regular follow-up are key to preventing rebound weight gain, he says

19 Side Effects of Semaglutide for Type 2 Diabetes and Weight Loss WebMD (2024)

As a diagnosed Pernicious Anaemia patient of 6 years , I do not advise you to use nasal spray instead of B12 injections

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