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Who is (and is not) a candidate for DSIP
That can lead to staying on the drug longer than necessary, with anxiety about quitting that's hard to untangle without addressing the underlying issues around food and self-image
Insulin stimulates LPL expression and LPL activity is reduced in patients with poorly controlled diabetes, which can impair the metabolism of triglyceride rich lipoproteins leading to hypertriglyceridemia (44)
The faster initial loss in men relates to higher baseline metabolic rates, more visceral fat (which mobilizes readily), and absence of menstrual cycle water fluctuations that can mask fat loss in women
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