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It is primarily determined by your lean muscle mass

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The levels of incretins including glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic hormone rise in response to a meal, and they are rapidly degraded by the enzyme dipeptidyl peptidase 4 (DPP-4) [5]

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Insulin is not active if taken by mouth, this is why insulin is given by injection and not oral tablets

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