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Seek urgent medical assessment if you develop: Difficulty swallowing (dysphagia) at any age Persistent or recurrent vomiting Unexplained weight loss, particularly if you're 55 or older and also have upper abdominal pain, reflux or dyspepsia Signs of gastrointestinal bleeding (such as black, tarry stools or vomiting blood) Iron-deficiency anaemia A lump or mass in the upper abdomen These symptoms require prompt evaluation as they may indicate more serious conditions requiring investigation, in line with NICE guidance for suspected cancer referrals

The psychological aspects of weight management cannot be overlooked

Similar to other chronic diseases, if the treatment for the disease of obesity is stopped, weight regain will likely occur and the health benefits will be diminished [14]

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