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Like GHRS-R1a, the G protein-coupled GLP-1 receptor (GLP-1R) is also expressed in various regions of the CNS, including the hypothalamus, thalamus, brainstem, and cortical regions such as the insula, opercular cortex, frontal pole, and paracingulate gyrus (Drucker, 2022

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Those who may not be a good candidate for GLP-1 medication use severe gastrointestinal diseases (e.g., inflammatory bowel disease) a personal or family history of multiple endocrine neoplasia 2A or 2B a personal or family history of medullary thyroid cancer a history of pancreatitis If youre in perimenopause, pregnancy is still possible, and doctors advise against using semaglutide during pregnancy

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