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We have other medicines, but tirzepatide is being introduced for the first time

By week 20, most patients have reached their target maintenance dose and enter a phase of steady, sustained weight reduction that can continue for 6-12 months before naturally stabilizing

In England, these are typically structured as Tier 3 (specialist multidisciplinary services) or Tier 4 (bariatric surgery services), with referral criteria that may vary by Integrated Care System (ICS)

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