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Ketoacidosis is more common in people with type 1 diabetes, but it can also happen with type 2 diabetes that requires insulin

Understanding this rarity is essential to putting the FDA warning in proper perspective

Your GP can refer you to: NHS weight management programmes Cognitive behavioural therapy (CBT) for eating behaviours Dietitian services for personalised nutritional guidance Support groups for accountability and motivation NICE guidance notes that very low-calorie diets (VLCDs) or total diet replacement programmes may be appropriate for some people, but these should only be used short-term and under medical supervision with regular monitoring

The drug is still used today and is known for the annoying side-effect of triggering explosives scanners at airports