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Gacci M, Corona G, Salvi M, et al

Free fatty acids are released into the bloodstream, but unless you are in a caloric deficit or exercising to oxidize those fatty acids, they are simply re-esterified and stored again

Consider medication review: If youre on a high-risk medication (mirtazapine, paroxetine, TCA) and have metabolic concerns: Discuss alternatives with your provider Ask if switching to a lower-risk option is feasible Many patients can successfully switch, but this requires careful planning (discussed below)