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2 In addition to lifestyle modifications (diet and exercise), many pharmacologic strategies have been proposed to counter iatrogenic weight gain, including appetite suppressants (eg, pro-dopaminergic agents such as phentermine, stimulants, and amantadine), pro-anorectant anticonvulsants (eg, topiramate or zonisamide), opioid receptor antagonists (eg, olanzapine/samidorphan or naltrexone) and oral hypoglycemics such as metformin

Discuss this approach with your provider first to confirm it is appropriate for your situation

Its completely normal

And that lost muscle

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Together, these compounds address weight management while potentially preserving lean mass during significant fat loss