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These individuals may search for strong sensory stimuli or perform ritualistic activities to excite their senses

1, 14 (John Wiley and Sons, Inc, 2014)

These include: Lifestyle interventions (dietary advice, physical activity programmes) Licensed pharmacotherapy such as orlistat, or GLP-1 receptor agonists including semaglutide 2.4 mg (Wegovy, NICE TA875) or tirzepatide (Zepbound) where clinically indicated and available Referral to tier 3 or tier 4 weight management services , including bariatric surgery assessment where appropriate Information on NHS weight management services and eligibility for licensed treatments is available via the NHS website and NICE guidance

Ensure you place a thin cloth between ice and skin to prevent frostbite