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A 15-year-old girl has lost 7 kg over eight months by cutting out fats and running before school, and is frightened of gaining weight. She is 160 cm tall and weighs 43 kg. Heart rate is 62 beats per minute, blood pressure 108/64 mmHg, temperature 36.4 degrees Celsius; electrolytes and electrocardiogram are normal and she has no suicidal ideation. She lives with both parents, who are alarmed and want to help, and she is still attending school. Which one of the following treatments has the best evidence as first-line care for her?
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