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This may explain why some patients report fibromyalgia flares after viral infections, dental procedures, or extreme stress periods [10], [11]

The drug is a mammalian oxyntomodulin analogue , activating both GLP-1 and glucagon receptors , thereby promoting insulin secretion, enhancing fat metabolism, and increasing energy expenditure

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Regarding the clinical diagnosis of L2HGA, it is necessary to test the levels of L-2 hydroxyglutaric acid in cerebrospinal fluid, blood and urine