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"This raises an important question regarding the safety of weight loss and lipid lowering therapies in this clinical population, because “the absence of a significant effect of treatment on non-illness mortality alone does not exclude the possibility of cholesterol reduction having any adverse effects on psychological well-being or quality of life”[20] and as found in this study, a falling lipid level predicted an increasing attentional impulsivity in them. The study, thus, adds to the growing body of evidence regarding a complex association between serum cholesterol and mental health and may provide a word of caution regarding an increased risk of impulsivity in patients with BD with “unnecessary” lipid lowering attempts; thus proving detrimental to their well-being."
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