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A common theme that we found in our research that we were not expecting was impact that stigma and fear of judgement had on the decisions that people make about their treatment, with many preferring to keep their treatment private, not disclosing their use of weight-loss medications to family, friends or even their GP

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There are no randomized controlled trials (RCTs) exploring this question, and only a small number of observational studies have assessed outcomes after treatment switch [13, 14]

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