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They actually, more likely, need eating disorder treatment that might include a mandate to eat MORE, therapy for their body image, and to live in a world with less anti-Fatness
Alcoholic use disorder outcomes after Roux-en-Y gastric bypass in patients taking GLP-1 ras: a multicenter analysis
Indulekha K, Surendar J, Anjana RM, et al

One person I encountered posted online to crowdsource advice on home equipment and routines

This is where a modern, medically-guided approach can change everything
2008;11 Suppl 1:S2332