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[DOI] [PubMed] [Google Scholar] 39.Heckl S., Pipkorn R., Waldeck W., Spring H., Jenne J., Von Der Lieth C.-W., Corban-Wilhelm H., Debus J., Braun K

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However, a thorough evaluation to identify and address reversible causes of inadequate weight loss—such as maladaptive eating behaviors, inadequate physical activity, or anatomical issues like gastrogastric fistula—should always precede medication initiation