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84 Under these pathophysiological conditions, glucose alone fails to generate the critically important cytosolic Ca 2+ signal that initiates insulin exocytosis

Consulting healthcare professionals is essential to understand these risks

Hypoestrogenism during adolescence, with no menarche and/or menstrual cyclicity and with a sub-normal development of sex-steroid-dependent tissues (fat distribution, breast development), might be responsible also for an abnormal or conflicting self-image

If food noise remains an issue or returns, strategies include: Mindfulness techniques: Acknowledging thoughts about food without judgment and letting them pass (e.g., the "conveyor belt" technique where thoughts are visualized as boxes passing by)