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Upon switching to monthly dosing, a mild, transient increase in nausea and/or vomiting was observed, but these symptoms improved rapidly with continued dosing

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However, some contraindications to GH therapy are present in subjects with PWS, such as severe obesity or severe respiratory impairment, acute critical illness, uncontrolled diabetes, active cancer, and active psychosis (118)

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BED subjects have substantial decrements in their ventral striatal reward pathways and diminished ability to recruit fronto-cortical impulse-control circuits to implement dietary restraint

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