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While highly effective for weight loss, these same mechanisms frequently cause gastrointestinal side effects, including nausea and general feelings of sickness

Patients should seek out a multidisciplinary team, including a nutrition professional and a mental health professional

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When medication is appropriate, the discussion should include: The limited evidence for GLP-1 agonists specifically in BED FDA-approved alternatives, including lisdexamfetamine Realistic expectations about outcomes and timeline Potential side effects and monitoring requirements Cost considerations and insurance coverage The importance of combining medication with behavioral interventions Monitoring during treatment should be systematic and multifaceted