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Regular clinical review should include: Assessment of weight loss trajectory and nutritional status Evaluation of fall risk, particularly in older adults Review of concomitant medications affecting bone health Monitoring for new fractures or bone pain When to seek medical advice : Patients should contact their GP if they experience unexplained bone pain, height loss, new fractures from minimal trauma, or concerns about rapid weight loss

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Sabharwal advises patients firmly against sourcing any GLP-1 medication outside a licensed pharmacy with a valid prescription, given the well-documented risk of counterfeit vials online

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