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NICE guidelines for weight management emphasise evidence-based interventions including dietary modification, increased physical activity, behavioural therapy, and in appropriate cases, pharmacological treatments (such as orlistat or semaglutide) or bariatric surgery

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Nutritional Support B-complex vitamins, particularly B12 and alpha-lipoic acid, may be recommended to support nerve function and reduce symptoms

Pregnant or breastfeeding women should not receive treatment

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