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The binding signal of batch identity is the sequence and molecular mass confirmed by mass spectrometry in the COA , not the trade name

These include: Lifestyle interventions (dietary advice, physical activity programmes) Licensed pharmacotherapy such as orlistat, or GLP-1 receptor agonists including semaglutide 2.4 mg (Wegovy, NICE TA875) or tirzepatide (Zepbound) where clinically indicated and available Referral to tier 3 or tier 4 weight management services , including bariatric surgery assessment where appropriate Information on NHS weight management services and eligibility for licensed treatments is available via the NHS website and NICE guidance

It binds to ghrelin receptors located in the hypothalamus and pituitary gland, which initiates pulsatile growth hormone secretion