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We propose an independent disease perspective without exclusion criteria and with less heterogeneity and greater impact because, according to the National Health and Nutrition Survey (ENSANUT), in Mexico, 25 % of adults over 60 years of age suffer from diabetes, and 96 % of those over 50 years of age have abdominal obesity

Stress, hormonal cycles (particularly in women), and underlying metabolic conditions like insulin resistance can delay noticeable progress by one to two weeks