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Reduced insulin sensitivity was observed in pancreatic cancer patients muscle, adipose, and liver tissue, which is believed to result from exosomes secreted from pancreatic cancer cells (Record et al., 2014

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Antidiabetic drug effects on gastrointestinal health: convergent evidence from a longitudinal cohort and Mendelian randomization study

Vitamin B12 monitoring is particularly important for patients also taking metformin, as both medications can affect B12 status