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If youve tried everything else listed here then consider adding a GLP-1 agonist but only for a short period of time (no more than 1 year)

We have known for a long time that dopamine is the pleasure hormone that becomes overly activated in addiction, be it addiction to food, alcohol or even video games, Sowa added

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The mechanism of action involves several physiological effects: Enhanced insulin secretion : GLP-1 agonists stimulate glucose-dependent insulin release from pancreatic beta cells, helping to lower blood glucose levels without causing hypoglycaemia when glucose levels are normal