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When the attack occurs, the blood supply to part of the brain is reduced or cut off, resulting in rapid and extensive cell death

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Some patients experience even greater results, particularly those who combine medication with structured nutrition and activity changes

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The vast majority of the excitatory neurons in your nervous systemincluding your brain and spinal cordare glutamatergic, which means they are activated by glutamate

However, reduced appetite typically persists as tirzepatide continues to workthis is by design and supports sustained weight loss