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At 6 or 12 months, depending on the progress made, the doctor might recommend keeping the same dose if there is no slowing of the weight loss, or if there is no further improvement for some time, so you may be switched to a higher dose

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Emphasis should be placed on: Increasing consumption of vegetables, fruits, and whole grains Choosing lean protein sources to preserve muscle mass during weight loss Reducing intake of processed foods, sugary beverages, and high-fat items Practising portion control and mindful eating techniques Low-calorie diets (typically 8001200 kcal/day) or very low-calorie diets (VLCDs, usually less than 800 kcal/day, often as total diet replacement products) may be considered for short periods under medical supervision within a multicomponent weight management programme for individuals with a BMI over 30 kg/m, particularly when rapid initial weight loss is clinically beneficial