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They will not replace counseling or peer support, but they might quiet the brain chatter that says just one more. Until the FDA stamps an addiction indication, discuss risks, costs, and realistic expectations with a clinician who knows both metabolic and mental-health terrain

GLP-1 medications commonly cause nausea, vomiting, and other GI effects requiring tolerance-building period over weeks to months

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Prioritize protein at every meal This is the single most impactful dietary change

Hsu, J., et al