The SUSTAIN and STEP trial series for semaglutide demonstrated 1015% body weight reduction over 68 weeks in the STEP 1 trial (Wilding et al., 2021, NEJM: The SURMOUNT-1 trial for tirzepatide demonstrated up to 20.9% weight reduction at the highest dose (Jastreboff et al., 2022, NEJM: Retatrutide Phase II data (Jastreboff et al., 2023, NEJM) showed up to 24.2% weight loss, the highest reported for any pharmacological intervention in a randomised trial at the time of publication
Indeed studies have documented alterations in nitric oxide synthase genes in children with ASD ( 4 concentrations, nitric oxide synthase produces peroxynitrite, an unstable reactive nitrogen species that can result in oxidative cellular damage
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Similar to BDNF, TrkB is widely expressed in the adult brain, including the cortex, hippocampus, multiple brain stem and spinal cord nuclei (29)
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