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[13] Conversely, significant energy deficit and rapid weight loss can temporarily suppress reproductive hormones a phenomenon recognised in functional hypothalamic amenorrhoea potentially reducing sexual drive in some individuals (see NICE CKS: Amenorrhoea)

found that exenatide increased brain lactate dehydrogenase activity, enhancing anaerobic glucose catabolism in brains of PS1-KI mice (207)

The possible role of hydrogen sulfide as an endogenous neuromodulator

Healthcare professionals should take patient reports of muscle pain seriously, conducting a thorough assessment to determine whether the symptom is likely related to Mounjaro, attributable to another cause, or multifactorial