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During this process, potassium moves out of muscle cells into the bloodstream , producing a small, temporary increase in serum potassium levels in healthy individuals (Hovgaard & Juhl-Olsen, 2021

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However, an unphysiologically large postprandial release of GLP1, for example, after gastric bypass surgery (Korner et al., 2007), might reach the circumventricular organs, and DPP4resistant GLP1 receptor agonists clearly have central actions, though whether this includes action on GLP1 receptors inside the BBB or is limited to direct activation of GLP1 receptors in the circumventricular organs outside the BBB, is less clear (Adams et al., 2018

Young athletes, however, fall under strict NCAA/WADA guidelines because anything that influences GH pulses is considered performance-altering