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Citalopram (Celexa) / Escitalopram (Lexapro): Small but measurable weight increases over 6-12 months Pharmacovigilance data link these to abnormal weight gain and hepatic steatosis (fatty liver) Overall modest effects compared to TCAs, mirtazapine, paroxetine Generally well-tolerated Clinical considerations: Among the better SSRI options for metabolic concerns, but not completely neutral

Additionally, it was emphasized that dietary intervention may have negative effects on gastrointestinal symptoms [36]

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Dont assume the medication is going to eventually take care of it

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