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Hyperglycemia-mediated cardiomyocyte damage is associated with inflammation
In this review, we summarized the interventions that might affect gut microbiota and then the secretion of GLP-1

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GOAT, ghrelin O -acyltransferase

And they didnt even have to start GLP1 medications which can cost $13,000 per year

GLP-1 agonists work on brain reward pathways and appetite regulation centers, potentially reducing the hedonic or reward-driven aspects of eating
