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This observation, combined with evidence that older adults have blunted MOTS-c responses to exercise, supports the hypothesis that declining mitochondrial peptide signaling contributes to the reduced exercise adaptability seen in aging
While we dont know which patients will gain weight back if they stop the medications (or cede back other benefits), its perfectly reasonable to sort that out by giving all patients a chance to stop taking the medication, once they have reached their health goals
Dionisi-Vici C, et al
3.2 The gut microbiota-microbial metabolite-mitochondria axis in CKD The endosymbiotic theory suggests that mitochondria originated from bacteria and share commonalities with gut microbiota in physiological characteristics, structure, and metabolism (Ghosh et al., 2022