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Smith-Magenis syndrome (a congenital disorder due to a haplo-insufficiency of the retinoic acid-induced 1 gene, involved in the regulation of the expression of circadian genes) patients present with an inverted rhythmic melatonin secretion and sleep difficulties that can be managed with melatonin administration in the evening and -adrenergic blockers during the day to reduce melatonin secretion (82)
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There is baseline secretion of GLP-1 even during fasting (510 pm), but postprandially induced production increases with meal size (1030 pm)
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