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Abstract Intestinal fibrosis is a common and serious complication of inflammatory bowel diseases, often leading to strictures that require endoscopic or surgical intervention

When attending an appointment, it may be helpful to: Bring a list of your current medications , including any supplements or over-the-counter products Discuss your weight history and previous treatment attempts , including any prior use of GLP-1 agonists Ask specifically about clinical trial eligibility , as some NHS trusts and academic centres are actively recruiting for obesity-related studies Raise any concerns about online sources offering unlicensed peptides, so your clinician can provide appropriate safety guidance Your GP can refer you to NHS Tier 3 specialist weight management services if you meet the relevant criteria