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Prescription medication like finasteride may help slow the progression

Cognitive behavioral therapy guided self-help and orlistat for the treatment of binge eating disorder: a randomized, double-blind, placebo-controlled trial
Ongoing monitoring helps adjust dosing and address plateaus while preserving lean mass and metabolic health

Reconstituted To make it even clearer, here's a direct comparison of the storage parameters

Rosenfield RL, Ehrmann DA
Most people see no scale movement in the first month while on the 3 mg starter dose
