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Dark green becomes a concern only when it looks black and tarry, which suggests bleeding, or when it arrives with pain, fever, or weight loss

A larger follow-up RCT (n=72 older adults) confirmed these findings, additionally demonstrating improvements in gait speed (+0.14 m/s), grip strength, 6-minute walk distance, waist circumference reduction, and systolic blood pressure reduction (Kumar et al., J Gerontol A Biol Sci Med Sci, 2023) [21]

DBT (dialectical behavior therapy) and IPT (interpersonal therapy) have also shown to be effective for BED in randomized controlled trials

All options should be discussed with the patient