Stopping the medication commonly allows appetite signals to drift back toward pre-treatment patterns, so maintaining lost weight usually requires either continuing treatment or committing to durable lifestyle systems that compensate for the change in hormones
If gastrointestinal symptoms persist despite adequate hydration and supportive measures, your provider may consider dose reduction, temporary treatment interruption, or prescribing anti-emetic medications such as ondansetron or metoclopramide
However, the FDA concedes that the need for citalopram may outweigh the risk for patients with certain health issues, regardless of dosage
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