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Dieting and malnutrition can reduce the intake of diet-derived tryptophan, leading to reduced serotonin production and availability [61]

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Its mechanism of action is focused on increasing insulin release, slowing digestion, and reducing glucose production from the liver

Cognitive tests Cognitive testing was performed using the validated National Institute of Health (NIH) Toolbox Cognitive Battery (version 1.11) [25, 26]