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A Quick Reference for Non-Specialist Clinicians LIKELY APPROPRIATE BMI 35, no eating disorder history Type 2 diabetes + overweight Cardiovascular risk reduction Metabolic syndrome REQUIRES EATING DISORDER SPECIALIST CONSULT FIRST Binge eating disorder Any prior mental health diagnosis History of disordered eating Adolescents / young adults DO NOT PRESCRIBE / HIGH RISK Active anorexia nervosa Active restrictive eating disorder History of MTC or MEN2 Active pancreatitis A Note on Autonomy, Judgment, and What We Owe Our Patients The following reflects my personal opinion and clinical perspective