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Problem: Side effects worse than expected at 7.5 mg If nausea, fatigue, or GI effects are significantly worse than at 5 mg, consider whether you might have drawn more than intended

Some people find that they dont tolerate the higher doses and get effective results at lower doses, its fine to continue on a lower dose however all the clinical trials so far have been done using a 2.4mg maintenance dose

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The effects of these medications on food-related reward pathways and impulse control in BED are largely theoretical and require further investigation through well-designed clinical trials