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Reward deficiency syndrome (RDS) is an umbrella term encompassing a wide array of addictive behaviors that affect individuals across diverse spectra of society. Our research group has conducted a plethora of studies investigating the utilization of KB220 and its various iterations for addressing RDS, including: dopamine homeostasis, brain areas associated with dopamine, functional connectivity, qEEG, reductions of cravings, relapse prevention and detoxification, opioid-seeking and attenuation of intake, binge-drinking and withdrawal, driving under the influence (DUI), shopping and hoarding behaviors, memory decline, nightmares, paraphilias, attention deficit hyperactivity disorder (ADHD), eating disorders and weight loss, anger and stress reduction, and genetically customized compounds. In this review, we compare studies using KB220 (and variants) for these things with GLP-1 analogs. We suggest that KB220 (and its variants) demonstrate superiority over GLP-1 analogs for addressing all these issues, as evidenced by various reasons outlined herein, particularly their impact on the brain's reward cascade and dopamine homeostasis, all while avoiding antagonism of the reward system.
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Cell Mol Neurobiol
July 2025
Behavioral Neuropharmacology and Neuroimaging Laboratory on Addictions, Department of Pharmacology and Toxicology, Jacobs School of Medicine and Biosciences, Clinical Research Institute on Addictions, State University of New York at Buffalo, Buffalo, NY, USA.
This study aimed to integrate genome-wide association studies (GWAS) with pharmacogenomics data to develop personalized pain and inflammatory therapeutics. Despite recent developments in the clinical utilities of pharmacogenomics, it needs more investigations for uncovering the complicated mechanisms of drugs from a genetic standpoint. The research addresses the increasing misuse of opioids during recovery, emphasizing personalized interventions for opioid use disorder (OUD).
View Article and Find Full Text PDFCurr Pharm Biotechnol
April 2025
Division of Addiction Research & Education, Center for Sports, Exercise, and Mental Health, Western University of Health Sciences, Pomona, CA, USA.
Background: Overdose involving opioids is the black heart of the addiction crisis. "Pre-addiction," as an encouraging concept by NIDA and NIAAA, seems best captured with the construct of dopamine dysregulation. Referring to the abundant publications on "Reward Deficiency Syndrome" (RDS), Genetic Addiction Risk Score (GARS) test, RDSQ29, and KB220, Pre-addiction can be referred to as "reward dysregulation" as a suitable suggestion.
View Article and Find Full Text PDFJ Addict Psychiatry
May 2024
Department of Molecular Biology, Adelson School of Medicine, Ariel University, Israel.
Open J Immunol
September 2024
Behavioral Neuropharmacology and Neuroimaging Laboratory, Clinical Research Institute on Addictions, Department of Pharmacology and Toxicology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA.
Pediatric autoimmune neuropsychiatric disorders associated with or without streptococcal and other bacterial infections (PANDAS/CANS) are emerging as a featured pediatric disorder. Although there is some controversy regarding treatment approaches, especially related to the behavioral sequelae, we have hypothesized in other published work that it is characterized by the rapid onset of Reward Deficiency Syndrome (RDS) in children. We propose utilizing a multi-systems biological approach involving the coupling of genetic addiction risk testing and pro-dopamine regulation (KB220/POLYGEN) to help induce "dopamine homeostasis" in patients with PANDAS, especially those with known DNA-induced hypodopaminergia.
View Article and Find Full Text PDFCell Mol Neurobiol
November 2024
Division of Addiction Research and Education, Center for Sports, Exercise, and Mental Health, Western University Health Sciences, Pomona, CA, USA.
The global public health addiction crisis has been stark, with over 932,400 deaths in the USA and Canada from opioid overdose since 1999-2020, surpassing the mortality rates at the top of the HIV/AIDS epidemic. Both nations exhibit opioid consumption rates significantly above the norm for developed countries. Analgesic type of opioids present both therapeutic benefits and substantial health risks, necessitating balanced drug regulation, careful prescribing, and dedicated opioid stewardship.
View Article and Find Full Text PDF