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Exendin-4 ameliorates motor neuron degeneration in cellular and animal models of amyotrophic lateral sclerosis

We know eating an adequate protein around 1 gram per pound body weight or goal weight- even when your overall caloric intake is not optimal- insures that muscle is preserved (Longland et al, 2016)

Ensure adequate protein intake from the outset (aim for 1.2g per kilogram of body weight as a minimum), and address any existing nutritional deficiencies particularly iron and vitamin D before starting treatment