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Theres a spectrum, says Aaron Keshen, a psychiatrist at Dalhousie University and Nova Scotia Health in Canada

5 mg Dose: At the lower maintenance dose of 5 mg, patients saw an average weight loss of 15% of their starting body weight, or about 37 pounds for a 250-pound individual In these studies, participants on a placebo, following the same diet and exercise recommendations, lost only about 3% of their body weight, highlighting the profound effect of the medication itself