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The major effect of ghrelin released to the blood is exerted within the central nervous system at the level of the arcuate nucleus where it stimulates the synthesis and release of neuropeptide Y (NPY) and agouti-related protein (AgRP)
But if you have a history with emotional eating, binge episodes, or underlying trauma and anxiety that impacts your relationship with food, then approaching weight management, including medications like Ozempic, requires a different conversation than the typical "eat less, move more" advice
A diet rich in animal products, fortified foods, nutritional yeast, and supplements helps maintain adequate B12 levels
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