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Yes, any medication that has a stimulating effect on the central nervous system has the potential to cause insomnia, particularly stimulants used for Attention-Deficit/Hyperactivity Disorder (ADHD) and common over-the-counter decongestants

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A further study, SURMOUNT-4, demonstrated that over 88 weeks, the average weight loss in people receiving tirzepatide (Mounjaro) was 26%

LCMV is a non-cytopathic virus that replicates slowly, which favors its persistence due to the failure of the host to mount an efficient cytotoxic T cell response 89,94

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J Clin Investig 122:28842897 Turchinovich A, Weiz L, Langheinz A, Burwinkel B (2011) Characterization of extracellular circulating microRNA