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When both operate simultaneously, you get appetite suppression from two independent mechanisms, enhanced fat oxidation from ketosis, improved insulin sensitivity from both pathways, and potentially better preservation of lean mass compared to either intervention alone

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Antidepressants Combining hydroxyzine with selective serotonin reuptake inhibitors (SSRIs), like fluoxetine (Prozac), citalopram (Celexa), and Lexapro, can increase the risk of serotonin syndrome, a potentially life-threatening condition resulting from an excess of serotonin in the brain

Participants in clinical trials often reported feeling satisfied with smaller portions