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Jones is a Hematology-Oncology Fellow at The University of Texas San Antonio

Discontinuation due to side effects also happened with Prozac and deserved up front transparency

All identified records were imported into EndNote X9 (Clarivate, Version 9.3.3) for duplicate removal and systematic management prior to the screening process

Options at plateau include maintaining the current dose to prevent regain (the STEP 4 trial showed rapid weight regain after discontinuation), adding structured exercise to increase energy expenditure, reviewing dietary quality rather than just quantity, and in some cases, considering a temporary dose increase if prescribed by a provider