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NICE Guidelines are widely respected and used as a reference point across the UK and even internationally

New antidiabetic drugs, such as glucagon-like peptide-1 (GLP-1) receptor agonists, are drugs licensed for weight management in individuals with obesity

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A decrease in night-time growth hormone secretion is associated with reductions in lean body mass and muscle strength

Symptomatic relief can be achieved through: Antiemetics : Medications like ondansetron or prochlorperazine for nausea control Ginger supplements : Some limited evidence supports ginger's antiemetic properties, but patients should discuss this with their healthcare provider due to potential interactions with medications such as anticoagulants [18] Elevation after meals : Remaining upright for 12 hours post-meal aids gastric emptying through gravity Patients should work closely with their diabetes specialist team and dietitians to develop individualised management plans that balance glycaemic control with symptom management and nutritional adequacy