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This is especially true for patients with class II or class III obesity, patients with obesity-related medical problems, and patients who have lost and regained weight many times

There are a range of options for managing perimenopausal and menopausal weight gain

To conserve energy, the body trims unneeded muscle and preserves energy-dense fat

Ensure adequate daily intake of: Calcium : Adults typically require 700mg daily (NHS recommendation), obtainable through dairy products, fortified plant-based alternatives, leafy green vegetables, and tinned fish with bones

Persistent symptoms warrant reassessment rather than automatic dose escalation