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The NHS offers a tiered approach to weight management services, with Tier 2 community-based programmes and Tier 3 specialist multidisciplinary services for those with more complex needs

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During endogenous metabolic reactions, aerobic cells produce ROS such as superoxide anion (O 2 - ), hydrogen peroxide (H 2 O 2 ), hydroxyl radical (OH), and organic peroxides as normal products of the biological reduction of molecular oxygen [4]