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We investigated the safety and therapeutic efficacy of an adjunct high\u2010frequency rTMS programme targeting the left DLPFC. Forty\u2010seven women with bulimia nervosa were randomised to a real or sham stimulation group. The real group underwent 10 rTMS sessions, each consisting of 20 trains of 5\u2009seconds with 55\u2010second intervals between trains, at a frequency of 10\u2009Hz. The main outcome was the number of binge episodes in the 15\u2009days following the end of stimulation. Overall, no significant improvement in bingeing and purging symptoms was noted after the programme. rTMS was well tolerated. This suggests that 10 sessions of high\u2010frequency rTMS to the left DLPFC provide no greater benefit than placebo. Future studies should consider methodological issues as well as alternative targets. 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