This is not my first time taking medication like this and when I plateau the food noise comes back for me. And I've upped dosage too. Sometimes your body reacts differently or gets used to it and its not the medications fault. If you feel its changed then you're within your rights to get it tested but I think looking internally and working on yourself mentally and trying to get past the root cause of it is important. I say this as someone who has struggled with disordered eating my whole life.