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- Smoker's Melanosis

Reduced motivation, fatigue, and cognitive impairments hinder compliance with necessary diabetes care practices, such as glucose monitoring, dietary adherence, and maintaining physical activity, which may exacerbate hyperglycemia and increases complication risks [127]

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This may be due to its effects on appetite regulation and food intake, as well as potential changes in the structure and function of the stomach

You can start online, see whether a treatment-led programme is suitable, and move forward with clinician support, monthly reviews and discreet pharmacy delivery if it is

The NHS Eatwell Guide and BDA food fact sheets on protein and fibre provide practical, UK-specific guidance