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Medication Side Effects and Interactions: While not a direct side effect of Zepbound, its overall effect could contribute to conditions that trigger eye twitching

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Evidence: Only one published OCD trial (EPA vs placebo) which showed no benefit

Rather, use GLP-1 as one piece of a comprehensive strategy: balanced diet, exercise, sleep and stress management, and medical oversight for setting achievable, sustainable targets

STRENGTHS AND LIMITATIONS We conducted a rigorous meta-analysis following established methodologies and adhering to the PRISMA guidelines

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