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Tier 2 and Tier 3 weight management services provide intensive support Dietetic input : Specialist dietitians can develop individualised plans accommodating Crohn's-related dietary restrictions whilst achieving caloric deficit Psychological support : Cognitive behavioural therapy and motivational interviewing address eating behaviours and emotional factors Physical activity programmes : Tailored exercise plans considering Crohn's-related fatigue and extra-intestinal manifestations Bariatric surgery represents the most effective long-term weight management intervention for severe obesity

Impurity quantification: Co-elution, peak fronting, and tailing often mask impurities present at trace levels (0.1 to 05%)

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Psyllium absorbs excess water and adds form to stool