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20 See Table 3: Appendix A: Detailed tables

Safer Alternatives for Weight Loss & Mental Wellness If weight management is impacting your mental health, alternatives may include: Structured nutritional counseling CBT or DBT for anxiety or depression causing emotional eating Mindfulness practices for stress reduction Treating underlying depression or trauma that contributes to weight changes Exercise & movement Final Thoughts DIY GLP-1 drugs from the gray market may seem like a quick fix, but they carry serious risks that can harm both body and mind

1993;53(18):PL2916

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