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Whether such combinations will still be used 50 years from now will also depend on whether there are improvements in other areas, such as immunotherapy or closed-loop insulin delivery systems
As of July 2025, IQVIA estimated more than 2 million UK adults were paying out of pocket for anti-obesity medications, against approximately 220,000 receiving them through the NHS: a ratio of around nine to one
NICE has approved semaglutide 2.4 mg (Wegovy) for use within specialist weight management services (NICE TA875), subject to specific eligibility criteria including a BMI of 35 kg/m or above (or 32.5 kg/m or above in people from certain ethnic minority backgrounds at higher metabolic risk) alongside at least one weight-related comorbidity
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