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BED is defined by the Diagnostic and Statistical Manual of Mental Disorders, Fifth edition (DSM-5) by frequent, recurrent episodes of binge-eating characterised by eating, in a discrete period of time, an amount of food that is definitely larger than what most people would eat in a similar period of time under similar circumstances, causing marked distress, occurring at least once a week for 3 months, and without any compensatory behaviour [11]

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The FDA states that anti-obesity medication should not be taken while pregnant and should be stopped at least two months before attempting to conceive.