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The National Institute for Health and Care Excellence recommends 45 to 60 minutes per day of moderate-intensity exercise to prevent obesity and 60 to 90 minutes per day to avoid regaining weight

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If the patient enrolled in a commercial weight-loss program (Weight Watchers, Noom, Jenny Craig, or a hospital-based program), the provider must submit: Enrollment confirmation with start date Attendance or participation logs showing at least 90 days of engagement Documentation that the program did not result in sustained weight loss (defined as less than 5% body weight reduction) Option 3: Bariatric counseling visit notes

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Data from clinical trials show that rates of depression and suicidal ideation are comparable between semaglutide and placebo groups, suggesting that continuing treatment with close monitoring is often appropriate for stable, mild symptoms