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Using a cycling protocol (periods of use followed by planned breaks) is the recommended approach for ongoing therapy

The NHS weight loss plan focuses on sustainable lifestyle modifications, including: Calorie reduction through portion control and healthier food choices Increased physical activity (minimum 150 minutes moderate-intensity exercise weekly, plus muscle-strengthening activities at least twice weekly) [16] [17] Behavioural strategies and goal-setting Referral to specialist weight management services based on local criteria Referral thresholds for weight management services vary by locality