First of all of all the patients I have had conversations with who are on this class of drugs, a very small minority are actually doing what they need to do
Medication interactions : Certain medications can interfere with weight loss efforts, including some antidepressants (particularly paroxetine, mirtazapine), antipsychotics (especially olanzapine, quetiapine), mood stabilizers (valproate), antiepileptics (gabapentin, pregabalin), corticosteroids, beta-blockers, and diabetes medications (insulin, sulfonylureas)
Antacids containing aluminum or magnesium, blood thinners such as warfarin, heart rhythm medicines, digoxin, colchicine, nelfinavir, some statins, and other therapies may require timing changes or monitoring
While rare, this risk is a significant consideration for anyone with an existing autoimmune condition