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The participants, who were stable at the start of the study, continued to be stable as the study went on, meaning being in ketosis didnt tip them toward depression or mania
1) conducted using US claims data from the Merative MarketScan Commercial and Medicare Databases

Efficacy and Safety of Once-Weekly Semaglutide Versus Once-Daily Sitagliptin as an Add-On to Metformin, Thiazolidinediones, or Their Combination in Patients With Type 2 Diabetes (SUSTAIN 2): A 56-Week, Double-Blind, Phase 3a, Randomised Trial

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In August 2025, a review found that flavonoids, which contribute to bitter flavors in, say, citrus or hops, can stimulate GLP-1 release, too
