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For persistent bile acid diarrhoea, GP review may be warranted to consider bile acid sequestrants such as colesevelam or cholestyramine, in line with British Society of Gastroenterology guidance

This ensures the plan continues to work for you and can be adjusted if needed

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But because they have more fat cells now, the person may end up heavier than when they commenced the drug. Bone density In addition to weight loss, the trials show a small risk of reduced bone density of about 2%, which may sound modest, but it has been associated with a 16% increased risk of hip fracture