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Core elements of effective, integrated treatment include: Medical oversight to monitor physical health, medication effects, and safety Nutritional rehabilitation to support stability, nourishment, and recovery from disordered eating patterns Evidence-based psychotherapy to address emotional regulation, coping skills, and underlying drivers Skills-based and relapse-prevention-focused therapies play a central role, including: Dialectical Behavior Therapy (DBT) to support emotion regulation and distress tolerance Cognitive Behavioral TherapyEnhanced (CBT-E) to address eating disorder behaviors and beliefs Acceptance and Commitment Therapy (ACT) to build psychological flexibility and values-based action Family involvement is especially important for adolescents and may include: Family-Based Treatment (FBT) approaches Education and support to strengthen recovery environments Across all levels of care, treatment emphasizes: Individualized planning based on comprehensive assessment Compassionate, inclusive, and recovery-oriented support Attention to the whole person rather than isolated diagnoses Monte Nidos approach integrates clinical expertise and ongoing research to support safe, sustainable recovery for individuals with co-occurring addiction and eating disorders

Vitamin B6: Supports metabolic reactions and assists neurotransmitters, hemoglobin and DNA production

GCL is a heterodimeric enzyme composed of a glutamate-cysteine ligase catalytic subunit (GCLC), which confers enzymatic activity, and a glutamate-cysteine ligase modifier subunit (GCLM), which enhances GCLC efficiency and attenuates feedback inhibition by GSH

This initial group of participants were then divided into two cohorts, SGLT2i and GLP-1 RA