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Very low calorie diets below 800 calories daily should only be followed under medical supervision within a structured weight management programme, as unsupervised restriction can lead to nutritional deficiencies, muscle loss, gallstones, and electrolyte imbalances
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This discouragement often leads to premature discontinuation, as evidenced by real-world data showing that 75% of patients without meaningful early weight loss will not achieve clinically significant results after six months of behavioral therapy alone
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Regular follow-up appointments, typically scheduled every 4 to 12 weeks during the initial treatment phase, allow for dose adjustments, side effect management, and monitoring of therapeutic outcomes
