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Possible signs of purging behavior include: Frequent trips to the bathroom right after meals Large amounts of food disappearing or unexplained empty wrappers and food containers Chronic sore throat Swelling of the salivary glands in the cheeks Dental decay resulting from erosion of tooth enamel by stomach acid Heartburn and gastroesophageal reflux Laxative or diet pill misuse Recurrent unexplained diarrhea Misuse of diuretics (water pills) Feeling dizzy or fainting from excessive purging behaviors resulting in dehydration Cuts and callouses on the knuckles can sometimes result from self-induced vomiting Individuals with bulimia can be slightly underweight, normal weight or overweight

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Therefore, researchers are working toward developing formulations that can be administered once a week, providing a longer-lasting effect and reducing the frequency of injections.56,57 Furthermore, there is a focus on developing GLP-1RAs that can be taken orally without the need for injections