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Tom Ransom, an endocrinologist at the Queen Elizabeth II Health Sciences Centre in Halifax, warns hCG has no benefit and carries risk

NICE-approved weight management interventions include: Dietary and lifestyle modification first-line approach for all patients Orlistat licensed medication for obesity (BMI 30 or 28 with comorbidities) GLP-1 receptor agonists including semaglutide (Wegovy) per NICE TA875 and liraglutide (Saxenda) with restrictions per NICE TA664, for specific patient groups Bariatric surgery for severe obesity meeting strict criteria The NHS emphasises that sustainable weight loss requires behavioural change, nutritional education, and increased physical activity

B12 injections are generally very well tolerated

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Therefore, 30 patients diagnosed with HF were given 1000 mg NR twice a day for 12 weeks, which increased whole blood NAD + levels and corresponded with higher peripheral blood mononuclear cells (PMBCs) mitochondrial respiration and reduced ROS production 318