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It is also worth noting that in the SOS study bariatric surgery was also shown to improve various aspects of health-related quality of life (HRQL), such as social interaction, psychosocial functioning, and depression

This might include referral to a dietitian for personalised nutritional guidance, a weight management service for structured support, or mental health services if body image concerns or disordered eating patterns are present

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While compounded medications are not FDA-approved in the same way brand-name drugs are, 503A compounding is a regulated industry standard for personalized prescriptions

Physical Signs of damage due to vomiting including swelling around the cheeks or jaw, calluses on knuckles, damage to teeth and bad breath Feeling bloated, constipated or developing intolerances to food Loss of or disturbance to menstruation Fainting or dizziness Fatigue or lethargy Sleep disturbances Compromised immune system (e.g., getting sick more often) Sudden weight loss, gain or fluctuation Psychological Preoccupation with eating, food, body shape and weight Intense fear of gaining weight Preoccupation with food or activities relating to food Heightened anxiety or irritability around mealtimes Heightened sensitivity to comments or criticism (real or perceived) about body shape or weight, eating or exercise habits Low self-esteem and feelings of shame, self-loathing or guilt Body dissatisfaction and negative body image Depression, anxiety, self-harm or suicidality Obsession with food and need for control Behavioural Repetitive dieting behaviour such as counting calories, skipping meals, fasting or avoidance of certain foods or food groups Evidence of binge eating such as disappearance or hoarding of food Evidence of vomiting or misuse of laxatives, appetite suppressants, enemas and/or diuretics Frequent trips to the bathroom during or shortly after meals Patterns or obsessive rituals around food, food preparation and eating Avoidance of, or change in behaviour in social situations involving food Social withdrawal or isolation from friends and family Secretive behaviour around eating Compulsive or excessive exercising Substance misuse Inappropriate hydration behaviours It is never advised to watch and wait