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Second Nature combines medication with support from registered dietitians and nutritionists, group coaching, and a habit-change programme built around a balanced plate of vegetables, protein, complex carbohydrates and healthy fats

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Patients with a personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN2) should not use semaglutide, as this is a contraindication