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Brand under FDA GMP
Accurate measurement requires imaging such as CT, MRI, DEXA, or validated ultrasound, or clinical proxies such as changes in waist circumference, fasting insulin, HOMA-IR, or liver enzymes
This leads to the frustrating situation of difficulty losing weight despite regular exercise and a good diet
Overall insulin usage was 46.3% (13.8% with insulin alone and 32.6% with insulin and one or more oral antidiabetic medications)