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Other conditions: People with severe kidney or liver impairment should use caution dosing may need adjustment

Furthermore, the osteoprotegerin (OPG)/Receptor Activator of Nuclear Factor B Ligand (RANKL) pathway is regulated by GLP-1RAs, increasing the OPG/RANKL ratio to inhibit osteoclast formation and promote bone formation by upregulating osteogenic genes like OC, COL1, Runx2, and ALP [120, 121]

This enhancement of neurotrophic signalling leads to rapid improvements in mood and cognitive flexibility, aligning with the neuroplasticity-based hypothesis of MDD, which posits that MDD arises from widespread deficits in neuronal plasticity and connectivity [229]

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A: Yes, it can be taken on an empty stomach, particularly pre-workout, but some people may prefer taking it with meals to reduce mild stomach discomfort