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True medication failure presents as loss of all subjective effects: appetite suppression gone, food noise returned, portion sizes increased, and characteristic medication sensations absent

It can reduce appetite and support weight loss

However, its important to talk to your healthcare provider if you experience any severe or persistent side effects

The mechanism is likely related to the metabolic changes, reduced caloric intake combined with the body adjusting to higher drug levels

The first is during the initial titration phase, when the body is adjusting to a new medication that fundamentally changes how the digestive system operates