Central nervous system involvement is further supported by GLP-1 production in caudal brainstem neurons, key integrators of vagus nerve-mediated gut-brain signaling 53,54,55,56

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L-Carnitine is available in several forms, including L-Carnitine, propionyl L-Carnitine, glycine propionyl L-Carnitine, and acetyl L-Carnitine
The disease usually begins in one part of the body and spreads gradually, leading to increasing muscle weakness
It only shows Lilly-sponsored studies, but since retatrutide is exclusively a Lilly compound, that limitation does not matter here