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however, these investigations can be performed in secondary care (do not delay referral)

Neuroendocrine signaling balance studies

Furthermore, adipose insulin resistance facilitates the release of adipokines (such as adiponectin, leptin, and resistin) and cytokines (like TNF-, IL-6 and IL-1) leading to chronic inflammation and hyperglycemia

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Foods rich in protein, fiber, and healthy fats can help to keep you feeling full and satisfied, reducing the likelihood of overeating