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A recent study suggested that in dementias involving the pathological protein tau, such as Alzheimers, faulty processing of glycogen (stored glucose) could be at fault, which might explain why GLP-1RAs look like a promising avenue

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Eslam M, Sanyal AJ, George J et al (2020) MAFLD: a consensus-driven proposed nomenclature for metabolic associated fatty liver disease

There are additional oral medications that are non-stimulant-based that, if appropriate, can also be considered after meeting with our nurse practitioner

For example, early satiety or vomiting may suggest problems with gastric accommodation, while late satiation and/or vomiting may suggest abnormal gastric emptying