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Proposed pathways include modulation of multiple neurotransmitter systems (influencing serotonin, dopamine, norepinephrine, GABA, glutamate levels), possible involvement of NMDA receptors, alpha-1 adrenergic signaling (e.g., potentiating pineal acetyltransferase activity), inhibition of somatostatin release via dopaminergic routes, reduced ACTH/cortisol for stress buffering, and stimulated growth hormone or somatoliberin secretion

Synaptogenesis: Promoting the formation of new synaptic connections between neurons

& Zhigadlo, N

The findings of the REDEFINE 1 and REDEFINE 2 trials reinforce the pivotal role of combination pharmacotherapy by targeting diverse mechanisms of action that translate into improved weight loss achievements as well as an impact on complications