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THE GH, IGF-1, AND INSULIN INTERPLAY IN TYPE 2 DIABETES MELLITUS AND OBESITY Patients with chronic liver disease are prone to developing sarcopenia, which is defined as loss of skeletal muscle mass, strength, and function, and is associated with increased morbidity and mortality [23]

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When combined with rapid glucose absorption from simple carbohydrates, this creates a scenario where insulin secretion overshoots, leading to reactive hypoglycaemia 13 hours postprandially