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The exact reason why some people gain weight on fluoxetine is not fully understood, but it is something doctors monitor when prescribing the medication

All use must comply with applicable EU regulations, including Regulation (EC) No 1907/2006 (REACH), national laws of the purchaser's country, and all applicable institutional policies
Sex Differences in Adipose Insulin Resistance Are Linked to Obesity, Lipolysis and Insulin Receptor Substrate 1. International Journal of Obesity 48, no

The key question is not simply whether the pill is effective, but which option a patient can realistically sustain over time

[DOI] [PubMed] [Google Scholar] 128.Natale P., Palmer S.C., Navaneethan S.D., Craig J.C., Strippoli G.F

It can help to set a phone reminder, keep the tablets somewhere visible but safe, and link the dose to a daily habit