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Some of these central and peripheral alterations include changes in dopamine (DA) neurotransmission (van Galen et al., 2023), leptin and insulin resistance, and dysregulation of the hypothalamicpituitaryadrenal (HPA) axis ( One physiological system involved in feeding control is the glucagon-like peptide 1 (GLP-1) and its receptor, GLP-1R
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Some comorbidities, especially psychiatric disorders, are underdiagnosed in people with MS 62
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