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They can be eaten on their own or paired with vegetables or whole grains for a balanced meal

Weight loss isn't always linearmany patients experience 23 week plateaus followed by sudden drops, which is completely normal

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

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doi: 10.1038/sj.bjp.0702206 2 AhleniusS.LarssonK