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You cannot lose 20-28% of your body weight without sending significant metabolic signals throughout your body

Dennis said she's seeing that most from people who don't fit the stereotype of a person with an eating disorder, including "folks in larger bodies." That could include people with atypical anorexia, a diagnosis where someone has all of the symptoms of anorexia but is not underweight, or people with binge eating disorder, Dennis said

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(But) this is exactly why many patients experience nausea and even vomiting with the GLP-1 medications. Some foods may stay in the stomach for many hours or even days when taking these drugs, he notes