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This is because abdominal fat accumulation is often influenced by a combination of factors: Insulin resistance Hormonal changes Thyroid dysfunction Reduced muscle mass Chronic stress Poor sleep quality Inflammation Sedentary work patterns When several of these factors overlap, losing visceral fat becomes considerably more difficult than losing a few kilograms through short-term dieting

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These effects help maintain glycemic control in individuals with diabetes

This is why injections are a standard medical treatment for conditions like pernicious anemia, malabsorption syndromes, and deficiencies related to gastrointestinal disease or surgery