Customary social weight reduction treatment has transient adequacy in diminishing gorging, yet patients will in general backslide. Stimulant medications (eg, SSRIs) additionally have momentary viability in wiping out voraciously consuming food, yet long haul adequacy is obscure. Lisdexamfetamine is affirmed for the treatment of moderate to serious gorging problems. It can lessen the number of gorge days and seems to cause slight weight reduction, however, its drawn-out adequacy is obscure. Craving smothering medications (eg, topiramate) or weight reduction drugs (eg, orlistat) might be useful.

I wish that lecture was around when I dealt with this a 16 years ago. I was 410+ lbs (the scale kinda maxxed out at that point) and went vegan. I did lose to 340 lbs initially but kinda floated there for over a year, maybe 18 months. It took me 5 years to get to my goal, every year (except year 2) being lighter than the previous.