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NHS access is currently restricted to specialist weight management services for adults meeting defined BMI and comorbidity criteria, and is subject to local commissioning decisions and time-limited use Naltrexone/bupropion (Mysimba) a combination product licensed for weight management as an adjunct to a reduced-calorie diet and increased physical activity in adults with a BMI 30 kg/m, or 27 kg/m with weight-related comorbidities [17] [18] Tirzepatide (Mounjaro) a dual GIP/GLP-1 receptor agonist that has received MHRA approval