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While metformin primarily controls fasting blood sugar, acarbose regulates postprandial glucose levels

Vitamin D also influences insulin sensitivity in target tissues, including through its effect on the secretion of the hormones leptin and adiponectin

Many perioperative factors can affect the gut microbiota, including the operation itself, antibiotics, opioids or acid-inducing drugs (Krezalek and Alverdy, 2016)

A general surgeon with expertise in hernias or a sports medicine physician can perform the necessary physical exams and order imaging like an MRI to differentiate between a sports hernia vs inguinal hernia and other potential causes of groin pain