As a result, more of the incretin hormones are left in circulation (Kim, Egan 2008)
Given that alcohol and drug abuse activate the same reward pathways involved in food intake, it is plausible that appetite-regulating peptides, such as GLP-1, exert their effects on brain regions associated with reward and addiction [20, 21]
47 Visceral fat accumulation in patients with obesity causes a number of changes (oxidative stress, activation of the RAAS and gut dysbiosis), resulting in insulin resistance, increased vascular stiffness, T2D, dyslipidaemia, hypertension, coronary atherosclerosis and, ultimately, HFpEF
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