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After initial unsuccessful surgery for endometriosis-associated infertility, in-vitro fertilization (IVF) is the best option rather than reoperation unless pain is still an important issue

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The NHS weight loss plan focuses on sustainable lifestyle modifications, including: Calorie reduction through portion control and healthier food choices Increased physical activity (minimum 150 minutes moderate-intensity exercise weekly, plus muscle-strengthening activities at least twice weekly) Behavioural strategies and goal-setting Referral to specialist weight management services based on local criteria Referral thresholds for weight management services vary by locality

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