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availability on the NHS is subject to local commissioning decisions and specific eligibility criteria, and it is not broadly recommended by NICE for routine adult weight management Orlistat a lipase inhibitor available on prescription or over the counter (as Alli) for weight loss support, in line with NICE guidance Structured NHS weight management programmes, including referral to specialist tier 3 or tier 4 services where clinically appropriate For concerns about growth hormone deficiency , a GP can refer patients to an endocrinologist for formal assessment
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