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Currently, orlistat (Xenical) is available to buy online and may be available from the NHS

Discuss LARC options with your gynecologist

Surgical revision or conversion may be considered in selected cases where significant anatomical changes have occurred (e.g., pouch or sleeve dilatation, loss of restriction)

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Normally: Body uses glucose (from carbs) for energy On keto: Carbs are restricted Glycogen stores deplete Liver produces ketones from fat Body enters ketosis This state forces your body to burn stored fat