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In England, this would be uncommon as, at time of publishing, NHS England allows the medication to be prescribed in primary care under a funding variation 6 for people with the following: Initial BMI 35 kg/m 2 (as of June 2026) and at least four of the following long-term conditions: Hypertension Dyslipidaemia Established cardiovascular disease Obstructive sleep apnoea (Type 2 diabetes) HSC obesity services are expected to commence in Northern Ireland in autumn 2026

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