The relatively high systemic insulin levels counteract the lipolytic effects of the high GH levels in fat and muscle, but they do not reach adequate levels in the portal vein, so the liver remains under the control of GH, which still induces gluconeogenesis, increasing hyperglycemia [33]
[PubMed: 11063167] 9
In this blog, well explore alternatives like Metformin, B12/MIC injections, and Acarbose and why a prescriber may recommend these instead of a GLP-1 solution
Wang Y, Mo Y, Peng M, Zhang S, Gong Z, Yan Q, et al
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