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Yes, Lexapro can help reduce rumination and excessive worrying by regulating serotonin levels

MIC B12 lipotropic injections for fat metabolism and energy

Fish and seafood (such as salmon, tuna, or shrimp): Protein-dense and satisfying without feeling heavy

Given that weight control and a low risk of hypoglycaemia are key considerations for this patient, the addition of a GLP-1RA may be the most appropriate choice