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Lancet Diabetes Endocrinol 7(7):515527

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Although leptin inhibits expression of orexigenic NPY/AgPR hypothalamic neurons, while stimulating anorexigenic POMC neurons in ARC (45), its practical therapeutical application in fighting excessive appetite in obese people appears to be unjustified because the majority of obese humans already exhibit high plasma levels of leptin, proportional to the body fat storage, indicating their resistance to circulating leptin (46)

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