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doi: 10.1002/jhm.228

10.1016/j.metabol.2013.01.014 113 ThomasC.GioielloA.NoriegaL.StrehleA.OuryJ.RizzoG.et al (2009)

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Sleep deprivation and chronic stress elevate ghrelin (the hunger hormone) and blunt GLP-1 signaling, creating resistance to the medication's benefits

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