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The gut–brain axis in early Parkinson's disease: from prodrome to prevention | Journal of Neurology | Springer Nature Link

For instance, when intra-portal insulin levels are increased [e.g., obesity, Cushing’s syndrome or due to treatment with glucocorticoids and glucagon-like peptide-1 receptor agonists (GLP-1RA)] or decreased (e.g., anorexia nervosa and T1D) in disease states, these secondary changes (“secondary association”) alters hepatic GH sensitivity resulting in discordant GH and IGF-I levels (high GH/low IGF-I levels and low GH/high IGF-I levels, respectively)

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Protein shakes, Greek yogurt, lean meats, and eggs become staples during any aggressive weight management protocol