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However, the authors urge caution in interpreting these findings due to the limited number of trials, the variations in study designs, and the heterogeneity in patient populations and substance types studied

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The experience that Ive had with my patients points me to think there is something more physiological, neurobiological going on that the medication addresses. People who binge as a coping mechanism may also find that anxiety gets worse once appetite is suppressed

I think people who are overweight or obese with preexisting cardiovascular disease who dont have diabetes should ask their cardiologist about it, and be offered it if they meet those criteria.