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The second phase consists in the gradual reintroduction of eliminated foods identifying the ones that may trigger symptoms

And direct GLP-1 receptor activation in neurons appears to modulate microglial activity, dampening the chronic immune response that underlies much late-life cognitive decline

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Poor sleep increases ghrelin (hunger hormone) levels and reduces the appetite-suppressing effects of GLP-1 receptor activation

Shyu, Lin, Lin, & Fu, 2012)

For instance, the odynophagia reported in Case 2 could easily be mistaken for oral thrush (a fungal infection), which is a known side effect of GLP-1 drugs due to slowed gastric emptying