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If you have active symptoms or a history of restriction, bingeing, purging, or compulsive exercise, involve a treatment team who can support medical safety, psychological monitoring and nutritional stability

The medication has been used safely in millions of patients over six decades, providing physicians with extensive data on long-term outcomes and rare adverse effects

Evidence caveat: The combination approach is based on clinical observation and mechanistic reasoning, not controlled trials

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Optimise your nutrition and hydration: Ensure adequate protein intake to maintain muscle mass and energyconsider discussing your specific needs with a registered dietitian, particularly if you have kidney disease Stay well-hydrated, as dehydration can worsen fatigue and gastrointestinal symptoms If considering supplements, discuss with your healthcare provider first to ensure they're appropriate and won't exceed recommended daily allowances Eat small, frequent meals to manage nausea and maintain stable energy levels Consider medication timing