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Discuss fatigue with your GP and request a blood test to check your iron (ferritin) and B12 levels

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We do have a minimum BMI of 23, because we don't want to make somebody unhealthy, too skinny, but that person might be on sort of semaglutide, which will drop your body weight a bit, but won't drop it as much as tirzepatide or the newer generations, which may be appropriate for somebody who has insulin resistance and pre-diabetes or diabetes, as related to excess weight, that might benefit from that drug