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Vinapamula KS, Pemmaraju SV, Bhattaram SK, Bitla AR, Manohar SM

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Int Psychoger 1998;10:193-203

Fifty of the 173 users discontinued the agents before the 1-year study period was up, most often for gastrointestinal symptoms and "insurance issues." Limitations to the study included its single-center, retrospective design and small sample size

He says it's seen as a "disease of choice, where people are eating too much and not trying hard enough and don't have enough willpower." But when his patients see how much the medication helps them if diets and excercise don't work, he says they often realize the issue is a medical one not a personal failing