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Despite the role of gut microbiota in the modulation of dopamine and norepinephrine remains to be fully understood, germ-free (GF) animal models have shown that there is a noteworthy alteration of these neurotransmitters in the gut as well as in the brain, which could have important consequences in the behavior [178]

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Ge S, Goh EL, Sailor KA, Kitabatake Y, Ming GL, Song H

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If these symptoms occur, stop Rybelsus and seek immediate medical attention