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Berry LW, Westlund B, Schedl T

These changes are enhanced by modifications in key regions such as the insular cortex (main area for taste processing) and caudate nucleus, where GLP-1-RAs are capable of normalizing altered brain activation patterns in patients with obesity and diabetes mellitus when exposed to hedonic gustatory stimuli (173, 174)

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Together, these observations suggest that receptor-level signaling and anti-inflammatory effects alone may be insufficient to produce functional improvement in energy-demanding tissues such as skeletal muscle and brain, where substrate turnover and mitochondrial metabolic throughput are critical determinants of tissue function