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GLP-1 did not increase myocardial oxygen consumption or blood flow in humans or in swine, increasing p38-MAPK activity in lean, but not obese cardiac tissue [48]

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Although this difference approached but did not reach the threshold for clinical significance established in other studies,134 the findings suggest the potential neuroprotective effects of lixisenatide, possibly mediated by increased synaptic dopamine levels, as supported by preclinical and clinical research in addictive disorders.135,136 Further investigations are warranted to elucidate the mechanisms underlying GLP-1RAs action in PD

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Marks ability to investigate the matter further was, however, temporarily delayed by the fact that shortly after the conference Samols went to Seattle to spend a sabbatical year with Robert Williams to learn more about the clinical and laboratory aspects of diabetes (Marks 2018)

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Researchers have observed modulatory effects on brain reward pathways, potentially reducing symptoms of depression, anxiety, and even curbing addictive behaviours such as alcohol or food cravings

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