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Always inform your provider of any other medicines, supplements, or health conditions before starting treatment

High-dose SSRIs like fluoxetine helped normalize neuropeptide abnormalities and supported the theory that serotonin dysregulation contributes to OCD symptoms
Track food intake meticulously for 7-14 days to identify hidden calories, increase protein to 1.2-1.6 g/kg ideal body weight daily, consume 25-35 g fiber daily, reduce ultra-processed foods, and consider consulting a registered dietitian

They were allowed with ad libitum access to food and water
