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Exercise did not improve any aspect of metabolic syndrome in #schizophrenia in new analysis of 10 trials: Check weight before and 1-mth after antipsychotic If 5% gain, start metformin or change med Consider GLP-1 if BMI 30 Supplements: Probiotics and melatonin (3-5 mg) for weight, omega-3's for lipids: Anyone have other ideas

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Neurological symptoms may start improving within 12 weeks, but longstanding complications can require 36 months of treatment, with some damage potentially irreversible