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The simultaneous activation of these pathways results in a multi-dimensional approach to metabolic regulation

If scope of practice is about competency rather than tradition, and if we obtain appropriate training, then prescribing medications that affect both metabolic and mental health falls within an expanded but reasonable scope for psychiatrists specializing in metabolic-psychiatric care

Chromium, fiber, and adaptogenic herbs can help manage cravings from multiple angles

Medically reviewed by Veronica Hackethal | MD, MSc , Harvard University | University of Oxford | Columbia Vagelos College of Physicians and Surgeons on March 26th, 2026