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By one year, more than 40% of participants had lost at least 20% of their body weight

Many disorders such as spinocerebellar ataxia type 18, intellectual disability, speech impairment, etc., are associated with the impaired GluR2 receptor in the cerebellum of human patients [209, 249, 250]

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Very low appetite plus very low carbs can also make it harder to get enough protein, fiber, and micronutrients

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9,10 Additionally, GLP-1 RAs suppress glucagon secretion from the -cells in the pancreas, leading to decreased blood glucose levels