20th February 2024

A 34-year-old female with known T2DM for two years has been referred to the obesity clinic for further management.

A 34-year-old female with known T2DM for two years has been referred to the obesity clinic for further management. She is 170cm in height and initially weighed 107kg. She has undergone lifestyle changes set by her GP during this time, where she has commenced a low-calorie diet and exercise routine. She has undergone behavioural therapy and also trialled Orlistat. Despite this, she has only reduced her weight to 105kg. Her BP was 140/75mmHg on check today, and previous ambulatory BP showed an average reading of 138/75mmHg.

Which of the following treatment options is the next likely step?