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ResultsGut hormones and food intake During and after meal, ingested nutrients alter the release of gut peptides that may potentially modulate the food intake and contribute to a three-steps process: meal initiation, within-meal satiety and across-meal satiety influences.4 Meal initiationGhrelin Originally isolated as the endogenous ligand for the growth hormone secretagogue receptor (GHS-R) and for its capacity to stimulate growth hormone (GH) secretion, ghrelin is also the only orexigenic signal from the gastrointestinal tract and a long-term regulator of energy homeostasis.5 This 28 amino acid peptide is modified post-translationally with an eight-carbon fatty acid by the enzyme ghrelin-O-acyl-transferase (GOAT)

GLP-1 receptors exist in brain regions affected by Parkinson's, prompting clinical trials to explore whether these agents might slow disease progression or improve motor symptoms

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The certainty of results is moderate, indicating a possible benefit of L-carnitine in this context