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Studies in animal models, found that food intake increased when ghrelin was specifically administered to just the ventral tegmental area (VTA), a brain area that uses dopamine signaling to reinforce behavior
However, in ME/CFS and dysautonomia, this vital switching mechanism becomes severely impaired, leaving patients unable to generate the rapid ATP required for basic daily activities
"The role of carnitine in intracellular metabolism." J Clin Chem Clin Biochem 28(5): 297-301
Glucagon-like peptide containing pathways in the regulation of feeding behaviour
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