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However, that tiredness usually fades as you settle into your new routine and many patients begin feeling better once their blood sugar stabilizes and the extra weight begins to come off

These patients may remain in a prolonged proliferative phase in which interstitial collagen deposition and remodeling impair gas diffusion across the alveolar-capillary membrane, causing an increased alveolar-arterial oxygen gradient that manifests clinically with mild dyspnea