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Most patients tolerate topiramate well when titrated slowly

Weight loss, in general, can cause the breakdown of muscle, which is why it is very important to exercise regularly and maintain a balanced diet with nutritious foods that have adequate amounts of protein, says Akhil Shenoy, MD, endocrinologist and medical adviser at Aeroflow Diabetes

The symptom that dominates how you feel is not the symptom that lingers

They also intensify dietary restriction and restraint and exacerbate symptoms associated with starvation (e.g., irritability, preoccupation with food, fatigue, and social indifference), reinforcing the primary maintaining mechanisms of this eating disorder