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In rodent binge-eating models, lacDrd2KO mice consumed approximately twice the amount of high-fat food as controls, accompanied by enhanced activation of dopaminergic neurons in the mesolimbic reward circuit ( Furthermore, prolactin may interfere with the central leptin signaling pathway ( 4.2 Adipose tissue dysfunction and lipid metabolism Clinical evidence suggests that elevated prolactin levels are strongly associated with disorders of lipid uptake, synthesis, and catabolism ( At the cellular level, prolactin can directly affect adipogenesis by regulating key transcription factor expression

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[130] [131] [132] [Note 1] In December 2023, the US FDA issued a warning about counterfeit Ozempic