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Saunders takes a similarly cautious strategy with her patients: When our patients are off medication for an extended period, we generally recommend starting back at the lowest dose and titrating up gradually. The more doses a person has missed, the more likely they are to have difficulty tolerating the medication when they restart it, and the more likely they are to have gastrointestinal side effects, Low Wang says
Telling someone who has exhausted every option to simply try harder is not medical care even though every major medical organization recognizes obesity as a chronic disease

Understanding the full spectrum helps patients and clinicians identify and describe their symptoms more precisely
