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Reiter et al., 2024)
Cortisol downregulates endogenous GLP-1 via L-cell glucocorticoid receptors (Zhang 2009, Diz-Chaves 2020), drives cravings that override appetite suppression, and promotes the insulin resistance GLP-1 is treating
consider slower titration or dose reduction of allulose if symptomatic
10.1111/j.1439-0531.2008.01290.x 69
Effects of exercise training on the glutathione antioxidant system Alzahrani, T.F., et al
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