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Elliott Lewis (a psychiatrist board-certified in obesity medicine) puts it: If scope is about competency rather than tradition, then prescribing medications that affect both metabolic and mental health falls within a reasonable scope for psychiatrists specializing in metabolic-psychiatric care. The key is integration, not scope creep

By one year, most people reported mild or no gastrointestinal symptoms

Muscle plays a crucial role in: Maintaining metabolic rate : More muscle mass means higher calorie expenditure at rest