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Treatment is limited to a maximum of 2 years according to NICE guidance Liraglutide (Saxenda) : Another GLP-1 receptor agonist licensed for weight management, with specific NICE criteria for NHS commissioning where available NHS Tier 2 and Tier 3 weight management services provide structured, multidisciplinary support including dietary advice, physical activity programmes, psychological support, and behavioural interventions

However, this provocation test is less well standardized.5 For more than 30 years we used the OGTT dumping provocation test in cases where we doubted the diagnosis