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Although there have been a limited number of studies, we found that when normalized for neuronal volume using the MRS biomarker N-acetyl aspartate, there is clear evidence for an elevation of glutamate in the early progression of ALS which is consistent with the predictions of the model of increased activity of glutamatergic neurons leading to excitotoxicity

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Blood glucose levels were measured using tail vein prick using a lancet and a Glucometer (Contour TM Next EZ, Ascensia Diabetes Care Holdings AG, Basel, CH)

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Just make sure youre intentional about the shakes and supplements you choose because a lot of them can come with additives. GLP-1s can bring side effects like nausea or vomiting, especially early on