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Approaches to increasing skin melanin with MSH analogs and synthetic melanins
Similarly, exendin-4 injection into the VMH of mice also reduced food intake and body weight, but, interestingly, decreased energy expenditureunlike liraglutide injectiondespite both acting via AMPK inhibition [99]
If improvement plateaus or symptoms persist despite treatment, further investigation may be warranted to identify other contributing factors or alternative diagnoses
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