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These results are supported by the findings of He et al

I see a lot of anecdotal reports of anhedonia and I suspect if a patient already has issues with their dopaminergic system, reward motivation, etc, that they might not be the best candidates for GLP-1 agonists for depression treatment as they can cause anhedonia even in low doses by affecting brain reward pathways and blunting dopamine signaling, often reported as emotional flatness

doi:10.1016/j.xcrm.2025.102511 112

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