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We treat obesity as a complex chronic disease requiring serious medical intervention
In selected cases of severe, treatment-resistant lymphoedema, surgical options such as liposuction (covered by NICE interventional procedures guidance), lymphaticovenous anastomosis, or vascularised lymph node transfer may be considered at specialist centres, though these remain relatively uncommon
Future randomized controlled trials are necessary to confirm the efficacy and safety in this high-risk population.
Women with both PCOS and obesity exhibit high levels of insulin resistance
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