First note the difference between "it's simulating the human brain" and "it's behaving in an intelligent way". Only one of the two requires tracking of blood sugar levels (to explain fatigue) and controlling motor neurons.
We happen to know how LLMs are trained, and from the loss function it's pretty clear that blood sugar will not magically enter the equation, nor even motor neurons, except as abstract knowledge that the model can reason about.
A LLM trained on western texts will, best-case, simulate a western abstract reasoning process, which usually puts more focus on independent/isolated explanations compared to other cultures. From that training data it will not spontaneously start simulating a generic human brain that was separated from both its cultural knowledge and its spinal cord.
At least in the same sense that the Mandelbrot fractal does not contain a picture of the maxwell equations. You may actually find that picture, but by looking hard enough in a complex enough system, you can find just about anything else you want.