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Labs including fasting insulin and glucose can confirm the diagnosis

This process is not only exacerbated by paininduced reduced activity but is also driven by the replacement of muscle tissue with adipose tissue due to tendon degeneration and protein degradation [84]

OECD 2022)

Contact your GP immediately if you experience fasting glucose consistently above 7 mmol/L, symptoms of hyperglycaemia, or any severe abdominal pain after resuming treatment