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However, specific circumstances warrant prompt consultation: Contact your bariatric team if you experience : Significant weight regain : Regaining more than 1520% of lost weight or returning to within 5% of pre-operative weight (follow your team's specific guidance) Inadequate initial weight loss : Losing less than 50% of excess weight within 1218 months post-operatively Persistent hunger : Experiencing constant or severe hunger despite appropriate portion sizes Loss of restriction : Ability to consume significantly larger portions than in the early post-operative period Nutritional deficiencies : Symptoms such as fatigue, hair loss, brittle nails, or neurological changes suggesting vitamin deficiencies Gastrointestinal symptoms : New or worsening nausea, vomiting, reflux, or abdominal pain Psychological difficulties : Depression, anxiety, eating disorders, or body image distress affecting quality of life Comorbidity recurrence : Return of obesity-related conditions such as type 2 diabetes, hypertension, or sleep apnoea Before starting weight loss injections , discuss with your bariatric team: Your weight loss trajectory and realistic expectations Potential benefits and risks specific to your medical history Alternative strategies that may be appropriate Funding and access pathways, as NHS provision varies by region Monitoring requirements and long-term treatment plans Emergency situations requiring immediate medical attention include: Severe, persistent vomiting or inability to tolerate fluids Signs of dehydration (dark urine, dizziness, rapid heartbeat) Severe abdominal pain or suspected surgical complications Symptoms of acute pancreatitis (severe epigastric pain radiating to the back, with vomiting) Signs of gallbladder disease (right upper quadrant pain, fever, jaundice) Symptoms of hypoglycaemia (confusion, sweating, tremor) if using diabetes medications Your bariatric team can provide personalised guidance on whether weight loss injections are appropriate for your individual circumstances and can coordinate comprehensive care to support your long-term success

: Planned guidance covers labeling, insulin biosimilars, container closure systems, pediatric study plans, BPCI Act Q&As and unbranded biological products

This is the same procedure described in detail on the KLOW 80 mg vial dosage protocol page

Labs are billed separately

Saxenda Dosing Saxenda requires daily subcutaneous injection: Titration schedule: Administration: Inject once daily at any time Consistent timing recommended Abdomen, thigh, or upper arm injection sites Rotate sites to prevent irritation Practical burden: 365 injections per year Must remember daily More needle/supply use Higher chance of missed doses Semaglutide Dosing Semaglutide requires weekly subcutaneous injection: Titration schedule (Wegovy doses): Administration: Inject once weekly on the same day each week Any time of day Same injection sites as Saxenda Rotate sites Practical burden: 52 injections per year Weekly reminder easier than daily Less needle/supply use Better adherence typically Dosing Comparison Impact on Adherence Research consistently shows better adherence with weekly versus daily medications: Daily dosing challenges: Easier to forget More disruption to routines Higher cumulative burden Greater chance of inconsistent dosing Weekly dosing advantages: Easier to remember one day Less intrusion on daily life Can establish reliable routine Fewer opportunities to miss doses Better adherence translates to better real-world results

Li T, Long M, Gatesoupe FJ, Zhang Q, Li A, Gong X