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These include: Lifestyle interventions (dietary advice, physical activity programmes) Licensed pharmacotherapy such as orlistat, or GLP-1 receptor agonists including semaglutide 2.4 mg (Wegovy, NICE TA875) or tirzepatide (Zepbound) where clinically indicated and available Referral to tier 3 or tier 4 weight management services , including bariatric surgery assessment where appropriate Information on NHS weight management services and eligibility for licensed treatments is available via the NHS website and NICE guidance

2020;26(16 Suppl):S335-S343

Kids have a lot of NAD+ and energy, but as we age and NAD+ declines, so does that seemingly unending energy supply

- Brandi F

So now your body gets thrown off with your thyroid hormones