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Additionally, extreme dietary interventions should be approached with caution and implemented under the supervision of qualified healthcare professionals, particularly because it is uncertain if they might exacerbate symptoms in ME/CFS patients, especially during the initial weeks

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[7] [8] These medicines may be accessed through: NHS specialist weight management services (Tier 3 or above) referral via your GP NHS primary care , where local commissioning criteria permit Registered private clinics and online pharmacies regulated by the Care Quality Commission (CQC) and General Pharmaceutical Council (GPhC) When accessing weight loss medicines privately, always verify that the provider is registered with the CQC (cqc.org.uk) and that prescriptions are issued by a GMC-registered prescriber following a clinical consultation

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