Even in humans, positron emission tomography studies have shown that alcohol induces a release of DA in the ventral striatum [30], and that this fast release of DA is associated with alcohol-induced reinforcing effects and acquisition of conditioned responses [31]
Cortisol is understood to indirectly influence liver function through its role in processes such as fat metabolism and glucose production, which may be related to GGT levels (20)
Currently, retatrutide is in phase 3 clinical trials to determine its long-term safety and efficacy for weight loss in obese and overweight individuals, knee osteoarthritis, and obstructive sleep apnea
Retatrutide reduced liver fat by 82% in trials, compared to roughly 55% for tirzepatide (Nature Medicine, 2024)
(See B12 Supplement Safety for the evidence behind this.) Large doses of B12 can trigger acne-like symptoms in a small number of people