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More than one-half of individuals with severe mental illnesses are obese or overweight, 1 resulting from multiple factors that may include psychiatric symptoms (eg, anergia and hyperphagia), poor dietary choices, sedentary lifestyle, underlying inflammatory processes, medical comorbidities, and iatrogenic consequences of certain medications

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The Next Step: What Science Says About Long-Term Weight Control Lasting weight control is a question of physiology, not just willpower

And more specifically, electrolyte depletion

The difference is cost, access, and how medication is filled