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Planning transition strategies before ending protocols improves outcome sustainability

The following evidence-based strategies are recommended by NICE Clinical Knowledge Summaries (CKS) and NHS guidance: Increase dietary fibre intake : Aim for 2530 grams of fibre daily from sources such as wholegrain cereals, fruits, vegetables, pulses, and nuts

Contact your GP or bariatric team promptly if you experience: Repeated fainting or loss of consciousness Blood pressure readings consistently below 90/60 mmHg Severe dizziness that prevents normal daily activities Signs of significant dehydration, such as very dark urine, dry mouth, or no urination for more than eight hours Chest pain, shortness of breath, or palpitations alongside low blood pressure Severe abdominal pain, black or tarry stools, fever, or rigors alongside low blood pressure, as these may indicate early post-operative complications requiring urgent assessment Symptoms that are worsening rather than improving over time If you are unsure and it is not an emergency, contact NHS 111 for urgent advice

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But the risks were tolerable, and the market too small to trigger regulators