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Currently, there are no evidence-based guidelines, particularly regarding endoscopic procedures, on whether to hold these medications or how to adjust fasting protocols for this patient population

10.1016/j.euroneuro.2008.02.006 129 JerlhagE.EgeciogluE.LandgrenS.SalomN.HeiligM.MoecharsD.et al

Although insulin resistance is present independently of BMI, this study highlights that insulin resistance worsens by increased BMI irrespective of visceral fat accumulation, supporting inherent insulin resistance

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