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According to NICE guidance (TA875), Wegovy is recommended for weight management only within specialist weight management services, and specifically for adults with: BMI ≥35 kg/m² with at least one weight-related comorbidity Lower BMI thresholds (typically by 2.5 kg/m²) may apply for people from some minority ethnic groups Treatment should be initiated only as part of a comprehensive weight management programme that includes dietary modification, increased physical activity, and behavioural support