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Three things surprise patients

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Although administration of exendin-4 directly into the accumbens shell reduced sucrose self-administration on a progressive ratio schedule of reinforcement [131], doses of exendin-4 lower than 0.1 g when infused into the nucleus accumbens shell or core do not affect operant responding for sucrose, ad libitum chow intake, or produce adverse malaise-like effects [67, 131, 134]

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Nobody mentioned her Lp(a)
