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It isnt totally out of the realm of what Smith has seen with other drugs that cause weight loss like some stimulants but he said GLP-1s are a different animal. Its exceeded anything in the past already, Smith said

By mimicking natural fullness signals and delaying stomach emptying, these drugs help reduce calorie intake without intense dieting

This biological hunger can hit all at once, leading to a restart of the binge cycle even when on medication , or can come back with a vengeance when finishing weight loss medication , if binge eating patterns have not been addressed separately

Kwon DH, Cha HJ, Lee H, Hong SH, Park C, Park SH

However, they may request additional details or recommend further assessment if needed