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[DOI] [PubMed] [Google Scholar] 38.Liu X, Zhang Y, Zheng SY, Lin R, Xie YJ, Chen H, Zheng YX, Liu E, Chen L, Yan JH, Xu W, Mai TT, Gong Y

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43,44 A study evaluating insulin secretion after oral glucose tolerance testing showed increased insulin levels in patients with HS compared to controls ( P =.02), with 60% (6/10) of patients with HS meeting criteria for insulin resistance