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Second Natures non-medication programme is a safer route, and many of our registered dietitians and coaches have specialist experience supporting disordered eating recovery If you have a personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia (these are FDA boxed warnings rather than UK contraindications, but theyre worth raising with a prescriber) For adults aged 65 and above, the medication is still licensed and used, but a prescriber will pay particular attention to maintaining muscle mass, falls risk, and bone health