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Because on GLP-1 therapy, the barrier to eating is already high
My skin has even gotten better

In support of ghrelins proposed actions through VANs, ghrelin receptors are expressed on VANs, and subdiaphragmatic or gastric vagotomy abolishes increased food intake following peripherally administered ghrelin (1.5 nmol) 220
Its just rarely discussed openly with patients before they start treatment

Spacing follow-up visits differently once the patient is stable