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Koutakis et al

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However, a thorough medical consultation and blood tests are essential before starting treatment

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On the other hand, insulin is a potent stimulant of lipid synthesis, antagonising TG breakdown

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Hormonal changes represent a significant factor

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[9] [10] Your GP may wish to perform investigations to exclude other causes of tiredness, which might include: Blood tests : Full blood count (to check for anaemia), thyroid function tests, vitamin B12, folate and vitamin D levels, iron studies, renal and liver function, and HbA1c to assess overall glycaemic control

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