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The reason for this discrepancy may be due to differences in gut microbial composition

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It has recently been suggested that ghrelin activates AMPK in presynaptic neurons, inducing an increase in activity in NPY/AgRP neurons promoting sustained food intake, and this signal stops after leptin is released by adipose tissue, signalling to stimulate POMC neurons inhibiting feeding and also to inhibit the AMPK in the presynaptic neurons, inactivating the release of NPY/AgRP [131]