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You might also be a candidate if your BMI is 27 or higher and you have a weight-related health condition, such as high blood pressure, high cholesterol, or type 2 diabetes

For example, participants with severe disease (multiple hospitalizations) were often treated simultaneously with cofactors and medication (amitriptyline or cyproheptadine) at the first visit based on the authors' experience of frequent treatment failures on cofactors alone, while those with milder disease courses were always given a trial of cofactors alone

Side Effects: Mild side effects may occur rarely

Evidence and Safety: Science vs

Gong W, Wang J, Huang L, Yang X, Chen D, Zheng M