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Insulin resistance : Reduced cellular response to insulin, leading to high blood sugar

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Initial steps should include education on the ketogenic diets principles, identifying foods to consume and avoid, and understanding how to track carbohydrate intake to ensure ketosis is achieved and maintained

Acute exercise effects on GLP-1 are mixed, but regular physical activity improves insulin sensitivity and may enhance GLP-1 responsiveness over time

So if we can get to 400 cases, you're going to be able to statistically look at second order of things