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Hippuric acid, a glycine conjugate involved in liver detoxification, showed a decrease post-seizure, likely indicating a depletion of glycine, which also functions as a neurotransmitter in inhibitory signalling in the central nervous system 33

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The article says online providers should screen for these conditions before dispensing, including personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia type 2, plus pancreatitis history, diabetic retinopathy, and severe gastrointestinal disorders