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Other psychological approaches include: Dialectical behaviour therapy (DBT) , which addresses emotional regulation difficulties often underlying binge eating Interpersonal psychotherapy (IPT) , focusing on relationship patterns and emotional triggers Acceptance and commitment therapy (ACT) , helping individuals develop psychological flexibility around food-related thoughts Pharmacological alternatives to GLP-1 agonists are limited in the UK

Future research should also address optimal dosing, timing of intervention, and potential synergistic or antagonistic interactions with existing immunosuppressive therapiesareas that remain largely unexplored but could have major implications for clinical practice