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Rehabilitation focuses on: Improving cervical stability Restoring posture Reducing stress on irritated nerve roots Improving tolerance to daily activities Care may include controlled techniques designed specifically for cervical nerve irritation while avoiding unnecessary stress on sensitive segments

eligibility typically requires a BMI of 35 kg/m or above (or 30 kg/m or above in certain ethnic groups), though thresholds vary by ICB Bariatric surgery referral for eligible patients, typically those with a BMI of 40 kg/m or above, or 35 kg/m or above with significant obesity-related comorbidities, in line with NICE guideline CG189 Structured diabetes prevention programmes for those at risk of type 2 diabetes These pathways offer genuine, monitored, and legally sanctioned routes to improved metabolic health

Standard serum B12 blood tests are unreliable

The pipeline is exciting because it points toward even more effective treatments and, eventually, more competition that could improve access and cost

& Balligand, J