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Clinicians should maintain realistic expectations about GLP-1 brain effects, emphasizing established benefits for glycemic control and weight management while acknowledging that applications for cognitive enhancement or neuroprotection remain unproven

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While cognitive behavioral therapy (CBT) remains a first-line treatment for BED [5], and lifestyle interventions are recommended for obesity, pharmacological support has gained prominenceparticularly for sustainable weight management and appetite regulation

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If you've already tried a GLP-1 and want to discuss escalating to a more potent option, that conversation starts in the same place

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