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When these effects were studied using cocaine, Ex-4 increased MSN action potential (AP) frequency in the NAc core and shell following the extinction of cocaine self-administration without changing sEPSC frequency or PPR or sEPSC, which indicated that increased excitability of MSNs in NAc might be contributing to suppressive effects of Ex-4 and this is a mechanism independent of the presynaptic stimulation (Hernandez et al., As another significant finding of this study, current literature points that while GLP-1 treatment significantly decreases addictive-like behavioral effects on cocaine, alcohol, and nicotine, the evidence for opioid addiction is contradictory

CJC/Ipamorelin protocols show sustained efficacy beyond 12 months with no receptor downregulation, likely because pulsatile stimulation allows receptor recovery between doses

Weight Loss Meal Plan: 400-500 calories, perfect for managing nausea High Protein Meal Plan: 500+ calories with 35g+ protein for muscle preservation Build Your Meal Plan: Total flexibility to choose meals based on your tolerance 2

Herbal teas such as ginger, chamomile, and peppermint may help relieve nausea, though this has not been specifically proven for GLP-1-related nausea