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This results in: Reduced appetite and caloric intake Enhanced satiety between meals Elevated metabolic tone and mental energy Tesofensine acts centrally to suppress appetite by increasing monoaminergic neurotransmitter levels in the hypothalamus. Astrup, The Lancet What makes Tesofensine unique isnt just its effect on hunger it also elevates dopamine , which may improve mood, motivation, and drive during a cut

This includes the elderly and those with neurological issues

Dehydration is worth mentioning separately