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Richie: I am not a clinician and, as such, I avoid making clinical recommendations

The B6 addition serves a theoretical purpose

again, local criteria apply These services offer: Structured group or individual dietary counselling Behavioural change support , including cognitive behavioural approaches Physical activity guidance tailored to individual ability and health status Medical review , including consideration of pharmacological support where clinically appropriate NICE-approved pharmacological options include: Orlistat : available on prescription (generally for BMI 30, or 28 with weight-related risk factors) or over the counter as 'alli' (for BMI 28)

& Engels, E

When it calls, the throat swells, but the vocal sac is not visible