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Instead of quitting entirely, patients taper down to a maintenance microdose. This keeps the drug in their system just enough to curb the loudest food noise

That said, results vary widely from person to person

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In adults with obesity or overweight who have not achieved adequate results from lifestyle changes (like a reduced-calorie diet and increased physical activity) alone, the American Gastroenterological Association (AGA) recommends adding medication to the lifestyle changes rather than continuing with lifestyle modifications alone