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These claims frequently rely on small studies conducted several decades ago, uncontrolled patient series or animal experiments using routes and conditions that differ from modern commercial products

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Microbiota-derived metabolites influence neuroinflammation, blood-brain barrier integrity, vagal signaling, and hypothalamic circuitry, suggesting that enhancing endogenous GLP-1 may complement pharmacologic GLP-1R agonism by engaging both peripheral and central metabolic pathways, warranting more evidence-based mechanistic insights in the future